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Programme. Where are we now? Current PCT performance within SHA No decision about me, without me: Local patients views Are there w ays of improving care and achieving QIPP? Round table discussion & local implementation plans. Where are we now? Current PCT performance.

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programme
Programme
  • Where are we now?Current PCT performance within SHA
  • No decision about me, without me: Local patients views
  • Are there ways of improving care and achieving QIPP?
  • Round table discussion & local implementation plans
where are we now current pct performance

Where are we now?Current PCT performance

Colin Gelder & Sandy Walmsley

Respiratory Leads West Midlands

slide4

COPD

  • COPD causes >25,000 deaths a year in England and Wales (5% all deaths)
  • 835,000 people in England have been diagnosed with COPD
  • DoH estimate >3 million people have COPD
  • Thus 2 million have undiagnosed COPD
key facts
Key Facts
  • Approx 9% GP patient population
  • GP consultation rates x2 angina
  • Average list will contain 200 COPD patients
nhs costs1
NHS Costs
  • COPD is an expensive disease for the NHS when it is not identified and treated early
  • >75% costs is due to severe/very severe patients
  • Direct cost of COPD to NHS is £810-930 million a year
  • Without change this is set to grow
patient perspective1
Patient Perspective
  • COPD is a progressive illness, and the number of people dying as a result of COPD increases with age
  • COPD is disabling. Although it affects people in different ways, those with COPD often have breathlessness, reduced exercise tolerance, a cough and repeated chest infections
copd exacerbations survival
COPD Exacerbations & Survival

13.9% of people admitted with an exacerbation of COPD die within 90 days

25% of people admitted with an exacerbation of COPD die within 1 year

social costs
Social Costs
  • Quality of life is undermined.
  • Restricted mobility leads to social isolation and the psychological conditions that go with it.
  • A British Lung Foundation survey found that 90% of people with severe COPD were unable to participate in socially important activities such as gardening, 66% were unable to take a holiday because of their disease and 33% had disabling breathlessness.
socio economic bias
Socio-Economic Bias
  • Smoking is more prevalent in lower socioeconomic groups
  • 26% of routine and manual workers smoke vs. 15% in managerial & professional occupations
  • DoH estimates that the routine and manual occupational group represents 50% people with (diagnosed or undiagnosed) COPD in England
  • Men aged between 20 and 64 employed in unskilled manual occupations are 14 times more likely to die from COPD than men in professional roles, and are around seven times more likely than those in managerial and technical occupations
the disadvantaged
The Disadvantaged
  • The picture is even worse for smokers from the most disadvantaged sectors of society, where in some cases (e.g. for people with schizophrenia) smoking prevalence can reach 74%
slide18

Societal Costs

  • ~25% of people with COPD are prevented from working due to the disease
  • Leading to 20.4 million lost working days among men and 3.5 million days among women every year
  • The annual cost of COPD- related lost productivity to employers and the economy has been put at £3.8 billion
pct expenditure on respiratory dh 2009 10 programme budgeting benchmark workbook v1 01
PCT Expenditure on RespiratoryDH 2009-10 Programme Budgeting Benchmark Workbook v1.0

National Average of £8.4m, an SHA average of £8.2m

spend per 100 000 of own population on copd dh 2009 10 programme budgeting benchmark workbook v1 0
Spend per 100,000 of own population on COPDDH 2009-10 Programme Budgeting Benchmark Workbook v1.0

Note Airways Disease does not include Asthma

spend per 100 000 of own population on copd dh 2009 10 programme budgeting benchmark workbook v1 01
Spend per 100,000 of own population on COPDDH 2009-10 Programme Budgeting Benchmark Workbook v1.0

Note Airways Disease does not include Asthma