Transcript Equity and Excellence: Liberating the NHS What does it

North Somerset
Equity and Excellence:
Liberating the NHS
What does it mean for North Somerset?
Chris Born
Chief Executive
North Somerset
• No decision about me,
without me
• Best outcomes not targets
• Empower clinicians
• New Health Partnership
• Patients empowered
through transparent
information
North Somerset
• Local authority leads the
Health & Wellbeing
Board from 2012
• New Healthwatch to
replace the Local
Involvement Network
(LINk) - 2012
• Public health department
moves to the Council 2013
North Somerset
GP Commissioners (GPC)
• North Somerset GPC
Consortium - 2012
• Shared commissioning
of hospitals (and mental
health?) across wider
area
• National Commissioning
Board for some services
- 2012
North Somerset
• All existing PCT community
services
• New social enterprise from
April 2011
• Focus on integrating care
with social services and
hospitals
• www.northsomerset.nhs.uk
• Comments by 23 February
North Somerset
• PCTs abolished 2013
• NHS South West
(SHA) abolished 2012
• PCTs will work as a
cluster as management
reductions occur
• Stronger external
regulation of the system
as now
Operating Framework
2011/12
• Mental Health Strategy due out
2011
– Public health
– Better service outcomes
– Early intervention and prevention
(e.g. offenders)
– Drug services
– IAPT expansion to young, old,
severe mi, long term conditions
– Victims of violence
North Somerset
Operating Framework
2011/12
•
•
•
•
North Somerset
Greater choice of treatment and provider
Improve services for veterans
Support for carers
Fines for mixed sex accommodation (including
day areas)
• Key measures (e.g. early intervention, crisis/home
treatment, CPA, IAPT) remain for 2011/12
North Somerset
• New outcomes
for 2012/13 (e.g.
preventing
premature death
in people with
severe mi,
employment,
experience of
service)
Finance
North Somerset
• Service providers: 4% efficiency per year
• Commissioners: similar amount via service redesign
• Total: £20bn savings over 4 years (e.g. £12m for NS
in 2011/12)
• North Somerset: 4.1% growth (vs. average of 2.2),
but 7.2% below target (£22m)
• Management reductions
• Pay freeze if earning > £21k
• Mandatory use of mental health clusters
WORKING AGE ADULTS AND OLDER PEOPLE WITH
MENTAL HEALTH PROBLEMS
Nonpsychotic
Very
severe and
complex
Mild/
moderate/
severe
1 2
3
4
5
6
Organic
Psychosis
7
Substan
ce
misuse
8
9
First
episode
10
Severe
ongoing
11
12
13
Acute
Very
severe
emergen
cy
14
15
engagement
16
17
18
Cognitive
impairme
nt
19
20
21
THREE KEY BENEFITS
FROM PBR :
North Somerset
1.
BECAUSE CURRENCIES ARE NEEDS BASED THEY SHOULD
GIVE COMMISSIONERS A CLEAR IDEA OF THE BALANCE OF
NEED AMONGST THOSE ACCESSING SECONDARY SERVICES
AND HELP SERVICE PLANNING/PRIORITISATION
2.
PBR SHOULD ENSURE A REGULAR AND TIMELY FLOW OF
INFORMATION TO THE COMMISSIONER ON WHAT IS
HAPPENING TO THEIR USERS AND ON INDIVIDUAL USER
OUTCOMES
BY THE USE OF STANDARDISED CURRENCIES AND
POTENTIALLY TARIFFS, VFM CAN BE BETTER EVALUATED,
COMPARED WITH BENCHMARKS AND IMPROVED
3.