NHSScotland has an excellent track record in delivering and exceeding efficiency savings targets. In 2011‐12 we will continue to eliminate waste and drive modernisation programmes to achieve productivity and efficiency gains without compromising quality. This session will provide an overview of the challenges that lie ahead for NHSScotland but also the opportunity to ensure we make the best use of the resources that we have.

2. NHSScotland Event 1 2 3 Economic Overview Quality and Efficiency Current Perspective Horizon Scan SCENE

4. Total Managed Expenditure vs Current Receipts

5. Public Sector net borrowing

6. Two-Speed Recovery Two-Speed Recovery

7. International GDP Growth - Update

8. ‘ On the road from the City of Skepticism, I had to pass through the Valley of Ambiguity’ Adam Smith SCENE

10. Estimated Scottish Government DEL Expenditure – June 2010 Budget Results (2010/11 Prices) £39

11. UK Comprehensive Spending Review 2010 Scottish Government DEL Settlement 2011-12 to 2014-15 Change 2010-11 2011-12 2012-13 2013-14 2014-15 2010-11to 2014-15 £bn £bn £bn £bn £bn £bn % Cash terms Resource 25.9 25.4 25.8 26.0 26.1 0.2 0.8% Capital 3.3 2.5 2.5 2.2 2.3 -1.0 -30.3% Total DEL 29.2 27.9 28.3 28.2 28.4 -0.8 -2.7%

14. Quality & Efficiency – Two sides of the coin “ To improve the overall quality and efficiency of NHSScotland while ensuring good value for money and achieving financial targets.”

20. Scottish Patient Safety Programme 72% reduction in critical care c.diff 14% increase in ward hand hygiene 58% decrease in ward c.diff 23% increase in surgical briefings 15% increase in on-time antibiotics` 1 2 3 4

24. Emerging portfolio 2011/12

36. “ We look to Scotland for all our ideas of civilisation” Voltaire (1694-1778) SCENE