NHS Central London CCG QIPP Development 2014/15

Transcription

1 NHS Central London CCG QIPP Development 2014/15

2 Contents Section 1: Context Section 2: Our Commitment System Wide Change Section 3: Key Activities Section 4: Benchmarking Tools Examples of Benchmarking Section 5: QIPP Development Section 6: QIPP Review and Ratification Timeframe 2

3 Context 3

4 Our Commitment System Wide Change 4

5 Key Activities Understand financial budget and associated activity for NHS Central London CCG Existing baseline and impact of: Financial changes in 2014/15 OOH strategy QIPP 2013/14 Identify key expenditure areas (e.g. medicines management to reduce variation) Benchmarking use of tools to identify opportunities for potential QIPP projects (further information on slide 6 Individual Service Leads ~ (CCG / CSU) input: Contract efficiencies Good practice evidence Service provider input Disinvestment Increased productivity with same financial resource Shift care to another location (may require investment) Service provider cost improvement GP / Consultant / Providers / Patient engagement 5

6 Benchmarking Tools Tool Description Link Reference Costing DH calculate the average cost per unit of activity across all providers. Can be used for a comparison of peer groups, does one inner city provider have a higher unit cost. We must also take into account the quality outcome delivered to the patient Audit Commission bench marking The National Benchmarker is a powerful online tool that compares acute hospital activity data, clinical coding and Payment by Results (PbR) related measures with other organisations It can be used to compare activity by providers. For example, one provider s inpatient admission has shown an increase in the number of spells recorded as having complications and comorbidities. Is this just this provider showing an increase, or is this reflected nationally. It contains over 60 indicators from general tests to focused data quality indicators, and includes: mean price of spell mean length of spell zero length spell ratio complication spell ratio follow up ratio mean pre-op period of elective spell multiple same-day outpatient attendance ratio mean diagnoses per spell post OPCS-4.3 procedure ratio trust cancellation ratio NHS Comparators NHS Comparators is designed to offer a standard view of national data and should be supplemented by information available in local systems. It complements facilities available from commercial organisations who offer more tailored products and services Community comparators The NHS Benchmarking Network currently has over 260 members across the NHS. It provides the most relevant and informed benchmarking comparisons and has a wide range of projects accessible to members in helping deliver QIPP, on-going service improvements and better health outcomes. Programme Budgeting Analysis of expenditure in healthcare programmes, such as cancer, mental health and cardiovascular diseases /Financeandplanning/Programmebudgeting/DH_

7 Examples of Benchmarking Benchmarking data will allow comparisons with national, London and neighbouring CCG s. Examples of benchmarking may include: Levels of urgent care hospital admissions Average levels of elective new outpatients, follow up and elective treatments GP referral rates Expenditure; opportunities to improve care whilst reducing cost e.g. Mental Health Expenditure against clinical outcomes 7

8 QIPP Development Following initial scoping exercise, potential QIPP projects can be put forward for consideration: Confirmation of acute contract efficiencies Consideration of rolling over QIPP 2013/14 plans; will include procurement programme slippage Working in collaboration within CWHH to identify common projects and sharing best practice Identification of new projects across key areas following benchmarking and stakeholder engagement; workstreams will include: Planned care Emergency care Mental Health Integrated care Continuing care Community service Prescribing Exploration of enabling projects (e.g. behavioural change) QIPP scheme for investment? 8

9 QIPP Development New projects enter NHS Central London CCG Project Phase Cycle The following diagram outlines the four phase approach to project management adopted by NHS Central London CCG 9

10 QIPP Development QIPP projects will be incorporated on QIPP workbooks / PIDs; this will include: Project Overview: Description of scheme Key aims and strategic fit Assumptions Method of implementation Benefits calculation: Financial impact (planned savings and reprovision cost, if applicable) Activity data; backing data analysis will be required to HRG level based on M6 outturn Trajectories for activity, finance and other key metrics related to quality and outcomes will be identified Benefits monitoring core assumptions and description of how benefits will be measured; reprovision in another health setting will be identified Milestone Plans Risks and mitigation 10

11 QIPP Project Review and Ratification QIPP projects will receive approval as part of phase 4 of the planning approach 2014/15. QIPP projects will be reviewed by: Transformational Redesign Group Health & Well Being Board CWHH Patient User Group Localities SaHF Team Finance and Performance Committee Governing Body QIPP 11

12 QIPP Project Review and Ratification QIPP Development Aug-13 Sep-13 Oct-13 Nov-13 Stage Action Who 1 Baseline financial analysis 2014/ Benchmarking process - comparison with national, London and neighbouring CCG's Identification of 'rolling' QIPP projects and CWHH common projects Individual service leads; contract efficiencies, good practice evidence, disinvestment, etc. Neil Shadbolt Action Completion W/C 16-Sep-13 Edmund Cox 23-Sep-13 Action Duration (Weeks) 3 Weeks 2 Weeks Alan Keane 16-Sep-13 2 Weeks Alan Keane 30-Sep-13 4 Weeks Proposed timeframe is shown; subject to change. 5 Service Provider Input in relation to proposed QIPP projects Alan Keane 30-Sep-13 4 Weeks GP input in relation to proposed QIPP projects (Locality meetings; South - 10th September, Central - 16th September, North - 17th September; Transformation Redesign Group 18th September) Patient engagement in relation to proposed QIPP projects; commissioning sub group meet on 20th September Proposed QIPP projects to be reviewed by CWHH; projects to be incorporated within workbooks / PIDS 9 Financial impact analysis and re-provision costing 10 Activity data analysis (M5 PbR submission available 27th September) Alan Keane 30-Sep-13 4 Weeks Alan Keane 30-Sep-13 4 Weeks Alan Keane 04-Nov-13 5 Weeks Neil Shadbolt 04-Nov-13 Edmund Cox 04-Nov-13 5 Weeks 5 Weeks 11 QIPP presentation to South Locality Meeting (8th October) Alan Keane 08-Oct-13 1 Week 12 QIPP presentation to Transformational Redesign Group (16th October) Alan Keane 16-Oct-13 1 Week 13 QIPP presentation to North Locality Meeting (17th October) Alan Keane 17-Oct-13 1 Week 14 QIPP presentation to Westminster Health and Wellbeing Board (24th October) Alan Keane 24-Oct-13 1 Week 15 QIPP presentation to Central Locality Meeting (28th October) Alan Keane 28-Oct-13 1 Week 16 QIPP recommendation from Finance and Performance Committee (30th October) Alan Keane 30-Oct-13 1 Week 17 QIPP authorisation from Governing Body (6th November) Alan Keane 06-Nov-13 1 Week 12