Home Healthcare

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Home Healthcare
Community and Home Healthcare Opportunities for
PCTs and Acute Hospitals
Stuart Sheehy Finance Director5 December 2008
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Contents

• About Bupa Home Healthcare
• Opportunities for PCTs
• Opportunities for Acute Hospitals
• Benefits for the NHS
• Criteria for Success

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About Bupa Home Healthcare
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Services

• Three aseptic compounding units
• Pharmacy dispensing units
• National cold chain distribution service
• Over 500 nurses and HCSW nationally
• Domiciliary Care Provider
• Regulated by MHRA, CSCI and RPSGB
• Patient co-ordination prescription management
• Regional network (Harlow, Glasgow, Derby, Ashton,
  Bristol)
• Acquired by Bupa on 1 December 2006

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Opportunities for PCTs
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Opportunities for PCTs

• Admission Avoidance programmes
• Primary care services
• Management of long term conditions (LTCM)
• End-of-Life Care

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Case Study 1

• Admission Avoidance COPD
• COPD ALOS 7 days
• Tariff D39 2360
• Bupa Home Healthcare circa 240 per day
• (ciprofloxacin intermate (200mg) infused twice
  daily)
• 7 day treatment 1680
• Net saving 680 (29)

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Primary Care Centres

• Services
• IV antibiotics
• Chemotherapy
• Blood transfusions
• Phlebotomy services
• Avoids hospital admissions
• Significant saving against tariff
• Working with PBC

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Long Term Conditions

• Chronic Conditions
• COPD and other respiratory illness
• CHD
• Diabetes
• Dementia
• Working with and complementing existing PCT
  services
• Proactive management and early intervention
• Reduce GP consultations and hospital admissions

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End-of-Life Care

• Services
• Up to 24 hour care (nursing and HCSW)
• Pain management
• Artificial feeding
• Chemotherapy
• Domiciliary care

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Opportunities for Acute Hospitals
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The Virtual Ward

• Early discharge programmes
• IV antibiotics
• Post-operative rehabilitation
• Orthopaedics
• CABG
• Cancer
• Domiciliary care
• Complex care patients
• Releases bed capacity
• Assist with 18 week target
• Increases income/bed day
• Patient choice

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D39 COPD wcc
Existing Data
Virtual Ward Proposal
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Benefits to PCTs and Acute Hospitals

• Financial savings
• Reduction in unplanned admissions
• Assists towards 18 week wait target
• Reduction in hospital acquired infections
• Patient Choice
• More appropriate care pathway and cost effective
  setting

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Criteria for Success
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Criteria for Success

• Strong leadership and buy-in by executive team
• Early clinical engagement
• Accurate financial and clinical data
• Aligned objectives from onset
• Clear. Measurable KPIs
• Flexible contractual models
• any willing provider
• Risk sharing with incentives