NHS Atlas of Variation in Diagnostic Services Prof Erika Denton NCD Diagnostics.

NHS Atlas of Variation in

Diagnostic Services

Prof Erika DentonNCD Diagnostics

Projected Rate Of Population Growth By Age Last Birthday

Graph showing projected rate of growth of Projected populations at mid-years by age last birthday (under 60 years and over 60 years) over the next 8 years.

Source: Government's actuarial department

0%

2%

4%

6%

8%

10%

12%

14%

16%

Year

Projected Population Increase from 2004 %

Under 60 (% increase from 2004)Over 60 (% increase from 2004)

Under 60 (% increase from 2004) 0.0% 0.5% 0.8% 0.8% 0.7% 0.9% 1.0% 1.3% 1.5%

Over 60 (% increase from 2004) 0.0% 1.4% 2.8% 5.6% 7.9% 9.8% 11.5% 13.1% 14.6%

2004 2005 2006 2007 2008 2009 2010 2011 2012

The vast majority of increase in population over the next 6 years is predicted to be in the 60+ age bracket.

The vast majority of increase in population over the next 6 years is predicted to be in the 60+ age bracket.

(Source: Government’s actuarial department).

Causes Of Death, over 60s Respiratory Diseases

GI DiseaseMental/

Be-havioural

CNS DiseaseAbnormal Findngs

All Others

Circulatory Diseases

Neoplasms80% of death of the over 60s attributed to 3 underlying causes

6+ week waits April 06 – July 13

Waiting List & Activity: all imaging

1 – Data refer to exams in hospital only.

2 – Data refer to exams outside hospital only.

1 – Data refer to exams in hospital only.

2 – Data refer to exams outside hospital only.

1 – Data include equipment in hospital only.

1 – Data include equipment in hospital only.

Map 1: Rate of magnetic resonance imaging (MRI) activity per weighted population by PCT

2012/3

Domain 1: Preventing people from dying prematurely

© Crown copyright and database rights 2013 Ordnance Survey 100039906

Map 2: Rate of magnetic resonance imaging (MRI) activity per weighted population by PCT

2012/3



Map 3: Rate of non-obstetric ultrasound activity per weighted population by PCT

2012/3



Map 6: Median time (minutes) from arrival at hospital to brain imaging for stroke patients by hospital

October–December 2012


Domain 2: Enhancing quality of life for people with long-term conditions

Domain 3: Helping people to recover from episodes of ill health or following injury


Map 7: Proportion (%) of stroke patients undergoing brain imaging within 1 hour of arrival at hospital by hospital

October–December 2012


Domain 2: Enhancing quality of life for people with long-term conditions

Domain 3: Helping people to recover from episodes of ill health or following injury


Rising to the Challenge?

Demographics + Patient/Public Expectations + Quality

Money

Solution = transformational change to the current way of delivering health care

Traditional vs ‘New’ change methodology

Transactional change:

Doing things better

Transformational change:

Doing better things

Tools to effect change

• Accurate diagnostic data: activity, capacity, reporting times

• Published evidence

• Guidelines: NICE, collegiate etc

• Official reports: NAO, NCEPOD, CQC, Francis etc

• Policy drivers, eg: Commissioning changes, Stroke Strategy, Cardiac networks, Cancer reform,

• Predictable demographic changes

• Communication: clinical, managerial & with commissioners

‘You can’t solve a problem by using the same thinking that created it’

Albert Einstein

NHS Atlas of Variation in Diagnostic Services Prof Erika Denton NCD Diagnostics.

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