NHS Tasked With £2.3 Billion Cost-cutting Mission

The Department of Health’s revenue budget for 2010/2011 has been reduced by £2.3bn as part of a £5bn efficiency plan across the public sector. As part of the new Budget, the chancellor has announced that the department’s revenue budget for 2010/11 will be adjusted from £104.6bn to £102.3bn.

According to Health Secretary Alan Johnson: “Better quality, safe health care goes hand in hand with better value for money. Getting it right first time for patients means better care, but also better value for money as it avoids costly follow-ups to put mistakes right.”

For example, the government has pointed to its drive to reduce healthcare-associated infections, which has saved the NHS £75m in the last year.

Is this efficiency plan simply cost-cutting by another name? Or is the government right in these leaner times to look towards doing more with less, and cutting out the fat without cutting out the corners?

Key to the success of any planned efficiency drive must be a commitment to getting Trust finances firmly under control. Senior clinicians need access to better quality data, in order to be able to deliver care within budget, and to ensure more business-like efficiency in how things are run.

Business intelligence can help achieve this, to ensure care is delivered within cost, and helping the NHS to watch the pennies and do more with less, now that spending has been reined back and thrift is very much the word of the day.

At What Cost, the 18-Week Wait?

The NHS in England has officially hit its target to treat patients within a maximum of 18 weeks from referral by their GP, the HSJ has reported, with the average wait for treatment for admitted patients now at 8.6 weeks.

Amongst the notable successes, cataract removal waiting times have halved – from 20 weeks in March 2007 to 10 weeks in January 2009. Waiting times for heart bypass or angioplasty have halved from 14 to seven weeks over the same period.

Such news is to be congratulated, and is a reflection of the effort put in by Trusts across the country to improve access to care and the overall patient experience.

Around 80% of Trusts have developed their own proprietary systems to meet the 18-week wait requirements. These have clearly done the job, but one question that needs to be asked is can they be easily expanded to meet more demanding reporting requirements, to improve overall healthcare delivery and outcomes in line with the Darzi review?

One common risk faced by Trusts developing their own in-house business intelligence solution is underestimating the time, money and resources involved in the initial design and set-up, as well as the ongoing routine management.

A disproportionate amount of time spent developing and setting up the system and in manually data entry can end up costing more that a bought-in solution, going against the need for best value. Going down the route of a specialist bought-in solution offers Trusts the reassurance of always having support on-hand, and experience of addressing the common issues faced in collecting data.

From Cotton to Care: Manchester continues to lead the world

As every proud Mancunian will no doubt tell you, since the beginnings of the Industrial revolution, Manchester’s innovative spirit has seen it at the vanguard of free trade, leading the political and economic reform of the 19th century, and founding the first passenger railway and first public library.

More recently, NHS Manchester’s commitment to improving healthcare delivery and patient outcomes has resulted in the deployment of an advanced business intelligence solution to help ensure world-class care for its patients, as reported in E Health Insider.

Our Data Warehouse and Patient Level Costing solutions are being deployed across its commissioning and provisioning functions to reduce risk to clinical and PCT data and enable healthcare managers to make quick and informed decisions, and ensure timely patient progress and access to care.

Paul McQuaid, project manager at NHS Manchester said: “The combination of these solutions will be crucial to the development of the organisation. They will allow our staff to drill down to obtain valuable patient data, rather than spending time processing documents.

“With a population of 500,000 and approximately 1000 GP referrals each week, we need the right tools to help deal effectively with business issues and meet our goals – Ardentia solutions make this possible for us.”

NHS Struggling with Waiting Times in Wales

Recent statistics have shown that over 200 people in Wales are still waiting more than 22 weeks for an operation, despite the referral to treatment deadline passing in March 2008 and with the March 2009 14 week deadline approaching, people waiting more than 14 weeks has increased by 7.5%.

It is thought that due to the time of year, hospitals have been under more pressure and have therefore been unable to carry out all planned operations as originally scheduled.

According to the stats, which you can view here, there are currently 6472 people waiting more than 14 weeks for surgery and 42,241 people waiting more than 10 weeks for an outpatient appointment.

Solutions such as Ardentia’s Pathway Manager are able to monitor compliance with both the English 18-week and the Welsh 26-week wait targets, identifying the needs of each individual patient and continuing to monitor these needs through their pathway of care across all areas of the hospital.

Using business intelligence solutions allow Trusts to access accurate, reliable and timely information about patients, resources, financial flows and key performance indicators. This enables managers and clinicians to make informed decisions in order to plan and manage their workloads more effectively and deliver an improved level of service.

NHS May Suffer From Poor Management

It has come to light today that the House of Commons’ health committee has said poor analytical and planning skills could mean that the aims set out in last summer’s Darzi review are at risk of being missed.

Lord Darzi’s year-long review of the NHS resulted in a blueprint that has the potential to radically transform healthcare delivery over the next decade. This blueprint paves the way for a more person-centred NHS, empowering patients with greater choice, better information and more control over services they receive.

But the group of MPs cast doubt on the ability of local health managers to achieve these goals. They went as far as to describe the quality of management as “striking and depressing”, and arguing that more effort should be made on recruiting and developing better managers.

But there is no reason why current NHS managers cannot meet these demands if they have the correct business intelligence tools. Give clinicians access to good quality data and you give them the ability to lead, and to improve service delivery and healthcare outcomes.

For example, by creating a single repository for all data sources, healthcare managers, clinicians, finance staff and executive directors can all get streamlined access to the information they need to monitor patient progress. This helps to ensure timely access to care as an immediate priority, with the long-term goal of using this information to transform the way healthcare is delivered.

Adopting the approach favoured by Darzi could generate unprecedented improvements in the quality of healthcare delivered by the NHS. But to do so effectively is going to mean intense effort by managers and clinicians. And they are going to need information far beyond what has been available in the past: it is going to have to be far more comprehensive and also far more reliable and this may not be possible without the correct tools.