Appendix A Brent PCT Medium Term Financial Strategy

1
Appendix
ABrent PCT- Medium Term Financial Strategy

• Benchmarked Data Analysis

2
Benchmarking Analysis-Contents

• Programme Budget analysis-
• - List of Programmes
• - All Programme Budget Variance
  Compared to Cluster Average
• - Cancer Programme Expenditure
  Compared to Cluster Average
• - Adult Mental Health Programme
  Expenditure Comparison
• - Older Peoples Mental Health
  Programme Expenditure Comparison
• - All Programme Budget Cluster
  Graph
• - Cancer, Mental Health and CVD
  Programme Cluster Graph
• - All Programme Analysis of Primary
  and Secondary Expenditure
• Efficiency Performance Measures-
• - First Outpatient Referral Rates
• - Elective Admission Referral Rates
  
• - Day Case Admission Rates
• - Surgical Admission Variation Rate
  ( basket of 6 elective procedures with evidence
  of overuse)
• - Pre-operative Bed Days Potential
  Reduction
• - Non Elective Referral Rates
• - Potential Bed Days Saved via
  Reduced Length of Stay

3
Programme Budget spend analysis List of
Programmes

• Infectious diseases
• Cancers and Tumours
• Disorders of Blood
• Endocrine, Nutritional and Metabolic problems
• Mental Health Disorders
• Problems of Learning Disability
• Neurological
• Problems of Vision
• Problems of Hearing
• Problems of Circulation
• Problems of the Respiratory system
• Dental Problems
• Problems of the Gastro Intestinal system
• Problems of the skin
• Problems of the Musculo Skeletal system
• Problems due to Trauma and Injuries
• Problems of Genito Urinary system
• Maternity and Reproductive Health
• Conditions of Neonates

4
All Programme Budget Variance Compared to
Cluster Average
5
Cancer Programme Expenditure Compared to Cluster
Average
6
Adult Mental Health Programme Expenditure
Comparison 2007/8(Source LIT Autumn 2007
Monitoring)
7
Older Peoples Mental Health Programme
Expenditure Comparison 2007/8(Source LIT Autumn
2007 Monitoring)
8
All Programme Budget Cluster Graph
9
Cancer, Mental Health and CVD Programme Cluster
Graph
10
All Programme Analysis of Primary and Secondary
Expenditure
11
First Outpatient Referral Rates 2005-2007
(Source NHS Comparators)
12
Elective Admission Referral Rates 2005-2007
(Source NHS Comparators)
13
Day Case Admission Rates 2005-2007 (Source NHS
Comparators)
14
Surgical Admission Variation Rate ( basket of 6
elective procedures with evidence of
overuse)(Source NHS Comparators)
15
Pre-operative Bed Days Potential Reduction
(Target100) (Source Dr Foster April 06-08)
16
Non-Elective Referral Rates 2005-2007 (Source
NHS Comparators)
17
Potential Bed Days Saved via Reduced LOS (Source
Dr Foster 2007/8)