Acute Healthcare Services in East of England Technical Analysis Simon Wood December 2006.
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Transcript of Acute Healthcare Services in East of England Technical Analysis Simon Wood December 2006.
![Page 1: Acute Healthcare Services in East of England Technical Analysis Simon Wood December 2006.](https://reader036.fdocuments.us/reader036/viewer/2022082817/56649e245503460f94b1205d/html5/thumbnails/1.jpg)
Acute Healthcare Services in East of England
Technical Analysis
Simon Wood
December 2006
![Page 2: Acute Healthcare Services in East of England Technical Analysis Simon Wood December 2006.](https://reader036.fdocuments.us/reader036/viewer/2022082817/56649e245503460f94b1205d/html5/thumbnails/2.jpg)
• Clinical outcomes
• Clinical sustainability
• Financial sustainability
Drivers for Reconfiguration
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General surgery 300,000
Cancer surgery 1 million
Haemato-oncology 500,000
Burns 5 million
Oral & maxillofacial surgery 1 million
Neonatal intensive care 1.5 million
Vascular surgery 500,000
Urology 500,000
Clinical Guidelines (1) – Catchment
Populations
(1) Clinical outcomes and/or clinical sustainability
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Other Clinical Guidelines (1)
Paediatric surgery
Cardiology
Stroke Services
Emergency Paediatrics
Ophthalmology
ENT
Renal Medicine
(1) Clinical outcomes and/or clinical sustainability
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Population per General Hospital across Strategic Health Authorities
Source : IPPR Briefing – Hospital reconfiguration, Sep 2006
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EoE Data Analysis
• Catchment populations – Southend 310,000 (EoE range 530,000 to 165,000)
• Births – Southend 3,600 (EoE range 5,500 to 2,100)
• Standardised activity rates per 1,000 weighted population (draft) – South-East Essex PCT 112
• Significant progress required to comply with 2009 European Working Time Directive standards (surgery & medicine; Southend at EoE average)
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Key Pressure Points
• Emergency Surgery
• Local Emergency Services
• Maternity Services
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Financial Position
• Large historic and underlying deficit
• Payment by Results will put additional cost pressures on PCTs and improve position of Acute Trusts
• Growth in income after 2007/08 will be modest
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1. Surgical Subspecialisation
2. Maternity
3. European Working Time Directive
4. Acute Commissioning
5. Technical (Weighted Capitation, Population Growth)
Proposed General Workstreams