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The Perfect Storm – are we eQIPP’d to survive it? Peter Rowe, National QIPP Lead – Medicines...
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Transcript of The Perfect Storm – are we eQIPP’d to survive it? Peter Rowe, National QIPP Lead – Medicines...
The Perfect Storm – are we eQIPP’d to survive it?
Peter Rowe, National QIPP Lead – Medicines Use and Procurement
Rowe Creative Limited ©
2
The Perfect Storm
Austerity
White Paper
Management Cost Savings
Department of Health
“These changes are so big you can see them from space”
David Nicholson.
3Department of Health
Managing the Transition
4Department of Health
5
1. PCTs still trying to address management cost reduction on their own?2. QIPP delivery falters3. Legitimacy post WP – ‘abolition’ has an immediate effect4. Leadership changes – ‘domino effect’5. Referrals on the increase6. Secondary care activity levels on increase
1. ‘Take your time’ message to GPs from DH
2. Competition for leadership/mandate creates delays in getting going
3. Negotiations between DH and GP professional bodies
4. Pilots?Department of Health
6
1. ‘Holding PCT’ sub-regional structure2. Stronger LA role in managing transition and secondary care
negotiations3. Industrial strength QIPP and management cost reduction4. Through holding PCT structure, shared responsibility for business
continuity during transition5. Clear role and mandate for PCT in transition
1. Even ‘bottom-up’ emergence of GPCC can be coordinated
2. PCT ‘Facilitator’ role helps encourage new GP leadership to come forward and to build network of GPCCs
3. Targeted GP development programme tailored to what they are telling us they need
4. Coordinated commissioning support offers best chance to compete with private sector
Department of Health
Provider Transition
o All NHS Trusts to be Foundation Trusts (FTs) by 2014
o Special Health Authority to be established to hold non FTs to account until then
o All sectors to prepare for any ‘willing provider’
o Tariff can be undercut
8
NHS ‘Post’ White Paper Commissioning
Independent Commissioning Board
Commissioning Consortia
Health & Wellbeing Boards
Patients (Personalisation)
Provision
Any Willing Provider Monitor Care Quality
Commission
Department of Health
9
Who will have the commissioning cash?
Independent Commissioning Board – 20-30%
Commissioning Consortia – 62-75%
Health & Wellbeing Boards – 5-8%
Patients - ?????
Department of Health
Commissioning Consortia
Primary Care and Commissioning from same place
Most patients with long-term conditions will have care provided and most hospital care commissioned from the same place
Medicines are one of the key enablers for system reform
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QIPP
Minimal growth for the next 3 – 5 years
Increasing Demand - Demographic- Technological- Consumer Driven/Political?
Gap £15 - £20 Billion over 3 – 5 years
Department of Health
12
Options??
Waiting Times Reduced Quality Stop Prevention Salami Slice R & D Education and Training
Department of Health
13
NO!
Not acceptable and will not deliver!
Department of Health
14
QIPP(S)
Quality Innovation Productivity Prevention ….Safety
Department of Health
15
QIPP at Every Level
Organisation (1) Local System (2) Sub Regional – eg Greater Manchester (3) Regional(4) National (5)
Department of Health
16
The Real Action is at Level 1
That’s where our people are and where the medicines are
prescribed and used
Department of Health
Heads, Beds and Meds!!
Heads – Staff
Beds – Infrastructure
Meds - Medicines
17Department of Health
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Medicines and Procurement
Quality and Value
Repositioning Medicines
Supply Chain
Department of Health
19
Quality and Value
National Prescribing Centre (NPC) Good Prescribing Guide
‘Top Tips’ for Providers Better Care, Better Value (BCBV)
Indicator
Department of Health
20
Repositioning Medicines
Support Better Outcomes Support Service Re-design Support Greater Productivity Support/Require Workforce Re-
design
Department of Health
21
Supply Chain
Self Care Community Pharmacy Contract Hospital Procurement Cancer Drug fund Home Care Value Based Pricing Working with Pharmaceutical Industry
Department of Health
22
Medicines and Workforce
`Blockbusters’ Application of best practice Improving access to medicines through new ways
of working
Support:
Better outcomes/quality Pathway Re-design Workforce Re-design Greater productivity
Department of Health
23
QIPP(S)
Quality Innovation Productivity Prevention ….Safety
Department of Health
Thank you!
Any questions ?
24Department of Health