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Presentation to the NHS Confed 21 June 2012.
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The NHS beyond 2015Facing the new financial realityPaul Corrigan
May December
1. The financial context2. Why we need to find and
develop new forms of value3. Where co-production fits in4. The People Powered Health
programme
The new
financial realityis the long austerity
May December
Meeting increased demand with the same resources will become normal
QUIPP works because of pay freezes - this can’t work for the next 10 years, but deflating tariffs will
The annual goal has to be significantly improved health care outcomes for the same resource
This will only be achieved by doing some cheaper new things to create outcomes that also stop doing some expensive old things
Getting more value out of the existing business model is important for short term gain
May December
The overall model that health care
value is only created by medical staff,
their kit and drugs has to be
supplemented by additional value
We need to find and develop new forms of value
May December
The economics of
co-production
Having previously made a moral case, co-production now needs to demonstrate an economics of value realisation
Around 66% of the NHS budget is spent on managing long term conditions
Patients spend 5800 hours a year managing their own condition
Patients spend about 5 hours a year having an NHS professional manage their condition
What if we spent
those 5 hours improving the efficacy of
the 5800?
Even though co-production hasn’t set out to demonstrate economic value there are already examples of it doing just that
People living with depression used significantly fewer consultant appointments and bed days
There were less consultations with mental health trusts
There were reduced DNA rates for appointments
The Health Foundation’s “Co-Creating Health” programme
The problem is as always in the NHS the money is never really ‘saved’ - this means the input is an additional cost which never ‘saves’ money
People PoweredHealth
December
Earl’s Court
December
Fewer patients need to be referred to secondary mental health providers and those who are referred will need services for shorter periods of time.
Focus on improving appropriateness of referrals and discharge
Fewer referrals and shorter average length of stay
Increasing throughput and potentially contract value
or
Reducing commissioner spend
=
Direct economic value
December
OutputsSuccessfully scaling People Powered Health models
December
December
Check out our websiteswww.nesta.org.uk/areas_of_work/public_services_lab/ people_powered_healthwww.innovationunit.org/our-services/projects/ people-powered-healthSign up to our community and receive regular updatesGet involved on Twitter #PPHealth @Nesta @Innovation_Unit
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