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Commissioning challenge

LSP Consultation Event: Resourcing of the public sector and its response to the recession : Denise McLellan, Chief Executive NHS Walsall 8 February 2010. NHS Walsall Long Term Strategic Aims. Raise levels of general health. 1. Health not illness. Commissioning challenge. Investment shift.

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Commissioning challenge

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  1. LSP Consultation Event:Resourcing of the public sector and its response to the recession :Denise McLellan, Chief Executive NHS Walsall 8 February 2010

  2. NHS Walsall Long Term Strategic Aims Raise levels of general health 1 • Health not illness • Commissioning challenge • Investment shift 2 3 • Invest in equality • Manage illness

  3. Demographic Change NHS Walsall and NHS West Midlands 2007 – 2018

  4. Life Expectancy by Ward Significant geographic divide between the health experiences in the East and West of the Borough. • manifest as eight year difference in life expectancy between most and least deprived wards • Within Walsall the widest gap in male life expectancy is 8.4 years

  5. NHS Walsall Revenue Allocation Growth

  6. Walsall is up to the challenge CHD Mortality Rate – Persons aged 65-74 Lung Cancer Mortality Rate - Persons under 75 Source: NCHOD Source: NCHOD 22.5% reduction in ten years and inequalities gap against national avge.rate narrowing. 24 fewer people dying each year. Rate more than halved in ten years and inequalities gap against national avge. rate closed by 2007. 109 fewer people dying each year.

  7. Walsall is up to the challenge‘Our Healthier Nation’ Progress in Walsall • All circulatory disease: • 41.5% mortality rate reduction, 209 fewer deaths each year, on track for 2010 target. • Cancer: • 13.6% mortality rate reduction, 53 fewer deaths each year, 2010 target may be achieved. • Accidents: • 28.8% reduction, 11 fewer deaths each year, Walsall has lowest accident mortality rate in the West Midlands. • Mental Health (Suicide rate) • Walsall has struggled to reduce suicides further, as the suicide rate has been below the national rate in most years in the last decade and remains below the national rate. 272 fewer deaths each year already achieved by 2005-7 Over 390 fewer deaths each year when targets are achieved in 2010

  8. NHS Walsall Long Term Financial Modelling Key Financial Assumptions • Resource Allocation • Changes in the national tariff • Inflation Key Cost Drivers: • Demographic Change • Disease Prevalence • Medical Technology • Access Rates/Activity Changes • Prescribing Rates Saving Strategies • Demand Management • Service Redesign • Upstream Interventions

  9. Base Scenario • Reasonable expectation (pre-budget) regarding: • Financial Assumptions • Cost Drivers • Demand Management and Service Redesign • Based on top 25% benchmarked best practice nationally

  10. NHA Walsall High Priority Outcomes 2010-2015 • Life expectancy • Deprivation score (IMD) • Infant mortality • Obesity • CVD mortality • Smoking • Teenage conception • Alcohol related harm • Stroke • Patient Experience

  11. Final comments • Health inequalities remain significant • NHS Walsall is committed to retaining local, high quality services • Clinical and financial sustainability is critical • Need to work together to create the right levers and incentives for rapid change

  12. Workshop questions • How can different organisations in Walsall work better together to improve outcomes in a tighter financial environment? • What principles should guide this? • What are your group’s top three ideas to make a difference to the most important outcomes at same or less costs?

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