© Nuffield Trust Annual Health Strategy Summit Dr Martin Bardsley Head of Research Nuffield Trust Twitter: #NTSummit
Dec 17, 2015
© Nuffield Trust
Annual Health Strategy Summit
Dr Martin Bardsley
Head of Research
Nuffield Trust
Twitter: #NTSummit
© Nuffield Trust
Annual Health Strategy Summit
Nuffield Data Lab
March 2011 Twitter: #NTSummit
Martin BardsleyHead of Research, Nuffield Trust
© Nuffield Trust
Breakfast session tomorrow
8am - 8.45am
The digital and Information revolution: how can the NHS make digital productivity real?
Tim Kelsey, Trustee, Nuffield Trust
Sophia Christie, Director of Alignment and Co-ordination, Improvement, Efficiency and QIPP, Department of Health
Azalea Room
© Nuffield Trust
Key challenges and opportunities
• Outcome measurement
• Information to enable patients, service users and their carers to make fully informed choices
• Using new information technologies to create efficiencies
• Exploiting information across organisational boundaries
• Allocating resources
Information at the individual level
© Nuffield Trust
Looking at individual pathways across services
March 2011
Start of trialPatterns of service use over 2 years
© Nuffield Trust
Accident and emergency 350,000 records
Outpatients1,680,000 records
Inpatients360,000 records
Social care240,000 records
Community matrons20,000 records
GPs60 practices48.5 million records
Relative size of data sets collectedFor one PCT area (WSD project)
March 2011
© Nuffield Trust
One person hospital cost profile over a year50-60 year old male, total annual cost > £35,000
© Nuffield Trust
Uneven distribution of costs
The proportion of total costs spent on patients with category of annual costs (area of shape) with the proportion of all patients in annual cost band (dots)
Around 3% of patients are responsible for nearly half the total patient costs
© Nuffield Trust@ £100 per person per year
General population: Mix of predicted future costs Practice population
@ £10,000 per person per year @ £1,000 per person per year
Identifying patient costs at GP Practice level
© Nuffield Trust
© Nuffield Trust
Breakout Session Azalea Room
Allocating healthcare budgets to general practices
Professor Peter Smith, Professor of Health Policy, Imperial College London
Chair: Dr Jennifer Dixon, Director, Nuffield Trust
Azalea Room
© Nuffield Trust
Overlap of health and social care
Registered pop 77,000
Secondary care 53,000
[69% of reg'd pop]
Social care contact 13,000 [17% of reg'd
pop]
Looking at all over 55s, registered continuously with local GPs from April 2005 to April 2008
90% of those with a social care contact have also had secondary care contact(s) in the three years
© Nuffield Trust
Breakout Session Bay Room
Interface of health and social care
David Behan, Director General Of Social Care, Local Government and Care Partnerships, Department of Health
Chair: Dr Geraint Lewis, Senior Fellow, Nuffield Trust
Bay Room
© Nuffield Trust
“Realising the savings needed to invest in improving outcomes means moving from a system configured to diagnose and treat, to one configured to predict and prevent”
David Nicholson. Letter to NHS 17th Feb 2011
Predict and Prevent?
© Nuffield Trust
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Emergency inpatient admissions for four selected ambulatory care sensitive conditions 2001-2010
Combined net difference in emergency admissions between 2001/2 and 2009/10:
-28,563-38,138+3,517+77,652
© Nuffield Trust
Evaluation of telecare and telehealth
“For every pound spent on telecare, five pounds could be saved on expensive hospital and residential care” Counsel and Care, 2009
© Nuffield Trust
Breakout Session Begonia Room
Telehealth technologies and the management of chronic disease
Stephen Johnson, Head of Long Term Conditions, Department of Health
Chair: Dr Martin Bardsley, Head of Research, Nuffield Trust
Begonia Room
© Nuffield Trust
Parallel Sessions 15:15-16:00
Allocating healthcare budgets to general practices
Professor Peter Smith, Professor of Health Policy, Imperial College LondonChair: Dr Jennifer Dixon, Director, Nuffield Trust
Azalea Room
Telehealth technologies and the management of chronic disease
Stephen Johnson, Head of Long Term Conditions, Department of HealthChair: Dr Martin Bardsley, Head of Research, Nuffield Trust
Begonia Room
Interface of health and social care
David Behan, Director General Of Social Care, Local Government and Care Partnerships, Department of HealthChair: Dr Geraint Lewis, Senior Fellow, Nuffield Trust
Bay Room