Choose and Book

1
Choose and BookPatient ChoiceThe Wider View

• Peter Spilsbury
• Director of Strategy Regulation
• NHS West Midlands
• 17th January 2007

2
National Context

• Modern computer systems to improve patient care
  and delivery of services.
• Patients able to Choose between comparable, high
  quality services
• NHS needs to take responsibility for
  Implementation and Benefits Management.
• PCTs are expected to deliver Benefits locally,
  working with their providers.
• All NHS Organisations are expected to plan,
  manage, realise and record benefits.

3
Realising the Benefits

• New IT systems are not an end point
• CaB is a tool to deliver real service change
• Opportunity to do things differently
• Provide better care for patients closer to where
  they live.
• Need to plan the long-term changes and benefits
  NOW.
• Need to adopt rigorous approach to Change
  Benefits management

4
Future Service Vision 2010

• People want to be healthier and receive treatment
  more quickly, closer to home and in better
  surroundings.
• Most patients want more choice
• Staff want to work in new and different ways.
• Encourage people to stay healthy
• New larger health centres
• Deliver most diagnostic services from community
  hospitals or community treatment centres.
• A new state-of-the-art AE for those people
  requiring specialist care

5
Future Service Vision 2010

• Active involvement with people who have a
  long-term health condition to help them maintain
  independence.
• Deliver most consultations in peoples local
  communities.
• Using latest techniques to ensure people recover
  quickly and so needed to spend only the shortest
  time in hospital.
• Intermediate care beds in the community, so
  people could recover or receive respite care
  closer to home rather than having to stay in a
  specialist hospital.

6
Making New Systems Mainstream

• PCT Chief Executives will become the Senior
  Responsible Owners for the Delivery of Benefits
  from new systems in their local health economy.
• The LDP Process and new Operating Framework
  require PCTs and Trusts to state the Benefits
  they plan to deliver.
• LDPs to be signed off by Boards in March.
• All PCTs to develop robust whole system plans by
  Spring/Summer 2007.

7
Dynamic Commissioning

• Traditional Commissioning
• At Specialty Level
• 1 PCT 1 Provider
• Manual Booking Processes can Juggle capacity
• Commissioning for Choice
• At Service Level (E.g. Routine Orthopaedics
  Lower Limb)
• If all slots lt13 weeks are full, patient is
  bounced
• Need to review Actual Demand vs Actual Slots
  Published for every service
• Demand from multiple commissioners

8
Key Messages

• NHS Services need to change to meet the demands
  and expectations of patients and the public.
• CaB should be an enabler of change.
• Rigorous Change and Benefits Management processes
  need to be in place to ensure that planned
  benefits are realised.
• Commissioners need to monitor and commission
  services at a detailed level
• We need to start planning changes and the
  benefits they will bring now.