Click here to load reader
Upload
nhs-improving-quality
View
93
Download
2
Embed Size (px)
DESCRIPTION
Gavin Boyle Chief Executive Chesterfield Royal NHS FT. Gavin's slides from the presentation at the Seven Day Services event, East Midlands, 12th June 2014.
Citation preview
Understanding the Challenge for the
East Midlands
Gavin Boyle
Chief Executive
Chesterfield Royal
NHS FT
A Chief Executive’s Perspective
• It’s the right thing to do
• Hard wired into the ‘system’ e.g. regulators, contracts etc.
• Not just hospitals
The Chesterfield Experience
• Early HFMA work
• NHS IQ National Pilot
• EM SCN & Senate
• Working Together – S. Yorks.
HFMA - Costing Workstream
• 1 of 8 trusts involved in Finance workstream of 7 Day Service Forum – HFMA
• Fieldwork Summer 2013 (Emergency and Urgent Services + Supporting Diagnostics)
• Not currently meeting all standards Mon-Fri e.g. time to first consultant review.
• Main cost driving standards
• Standard 2 - Consultant Time to Review
• Standard 3 – MDT Review
• Standard 5 – Diagnostics
• Standard 8 – On-going Review (daily consultant ward rounds)
HFMA - Potential Costs
• Pilots – £1.4m investment = £1.7m Saving (reduced LOS)
• Gross Investment of £3.8m ( to meet all standards)
• This is equivalent to 2.9% of Pay bill
• Or 2.0% of patient care income
0
10
20
30
40
50
60
70
wte's
Other
Therapies
Nursing
Radiology
Our Local Schemes
• Successful pilots made recurrent with 7 day services as a key theme:
• Acute Re-ablement Unit (Frailty Unit)
• Transitional Care Ward – including Social Care Workers
• Senior Clinical Decision Makers – increased presence
• Therapy and Diagnostic Services
• Primary Care support co-located with ED
• Over half a day per General Medicine NEL spell already achieved >9000 bed days circa £1.7m
7 Day Collaboration
• North Derbyshire – NHSIQ National Pilot
• East Midlands SCN & Senate (10 Acute Trusts)
• NHS IQ self–assessment tool
• Data Collection
• Case note audit
• Service level interviews
• South Yorkshire – Working Together Programme
• Smaller specialities e.g. Ophthalmology, ENT, OMFS
• Radiology