Delivering Quality and Value in Elective Care

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Delivering Quality and Value in Elective Care
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The challenges and opportunities for improving
quality and value in elective care across NHS
Yorkshire and the Humber

• Dr Ian Jackson
• President
• British Association of Day Surgery
• Clinical Lead
• Clinical Lead for Day Surgery and Short Term
  Elective Care

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• Regular reporting of data
• Based on basket of 25
• Remember what this represents
• Annual reports
• So what is happening?

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Activity Data
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Activity Data
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1700 patients
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Bottom line for Trust
1700 patients could be transferred to day surgery
Average length of stay gt 2 days
3,400 bed days
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Changing Patterns Of Surgery
Community based services
Out-patient
lt12 hours
Traditional day surgery
lt23 hours
In-patient
lt72 hours
gt72 hours
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Changing Patterns Of Surgery
Community based services
Out-patient
lt12 hours
Recent interest
lt23 hours
In-patient
lt72 hours
gt72 hours
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Changing Patterns Of Surgery
Community based services
Out-patient
lt12 hours
Someone has to take interest in short stay
surgery
lt23 hours
In-patient
lt72 hours
gt72 hours
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Surgical Sub-specialties

• Breast Surgery
• ENT
• General Surgery
• Gynaecology
• Head and Neck Surgery
• Ophthalmology
• Orthopaedics
• Urology
• Vascular

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Health Service Finances

• Period of unprecedented growth
• Ends 2008
• New keywords
• Financial stability or balance

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Nationally and locally NHS in deficit Political
pressure to balance
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Local Health Economies
Need to maximise admissions on day of
surgery maximise use of day and short stay
surgery and with these produce benchmarked
lengths of stay
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What would a long term view look like?
Look at the health needs of your community
look across large regional area
decide on the future shape of services
decide on steps to get there
Day stay and short stay surgery would be vital
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Is this happening anywhere?
What is happening in Scotland?
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Kerr Report
take a collective approach in which we generate
strength from integration and transformation
through unity of purpose
treating day surgery as the norm
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Delivering Quality and Value in Elective Care