Presentation to the NHS Confed 21 June 2012.

1. The NHS
beyond 2015
Facing the new financial reality
Paul Corrigan

2. 1. The financial context
2. Why we need to find and
develop new forms of value
3. Where co-production fits in
May December
4. The People Powered Health
programme

3. The new
financial reality
is the long austerity

4. Meeting increased demand with the same resources will
become normal
QUIPP works because of pay freezes - this can’t work for
the next 10 years, but deflating tariffs will
December
The annualMay has to be significantly improved health
goal
care outcomes for the same resource
This will only be achieved by doing some cheaper new
things to create outcomes that also stop doing some
expensive old things

5. Getting more value out
of the existing business
model is important for
short term gain

6. The overall model that health care
value is only created by medical
staff, their kit and drugs
May has to be
December
supplemented by additional value

7. We need to find and
develop new forms
of value

8. May December

9. The economics of
co-production

10. Having previously made a
moral case, co-production
now needs to demonstrate
an economics of value
realisation

11. Around 66% of the
NHS budget is spent on
managing long term
conditions

12. Patients spend 5800 hours a
year managing their own
condition
Patients spend about 5 hours a
year having an NHS professional
manage their condition

13. What if we spent
those 5 hours improving
the efficacy of
the 5800?

14. Even though co-production
hasn’t set out to
demonstrate economic value
there are already examples of
it doing just that

15. People living with depression used
significantly fewer consultant appointments
and bed days
There were less consultations with mental
health trusts
There were reduced DNA rates for
appointments
The Health Foundation’s “Co-Creating Health”
programme

16. The problem is as always in
the NHS the money is never
really ‘saved’ - this means the
input is an additional cost
which never ‘saves’ money

17. People Powered
Health

18. December
Earl’s Court

20. Focus on improving
appropriateness of referrals and
discharge
December
Fewer patients need to be referred to
secondary mental health providers and
those who are referred will need services
for shorter periods of time.

21. Direct economic value
Increasing throughput
Fewer and potentially
referrals and
shorter = contract value
or
average
length of stay Reducing
commissioner spend

22. Outputs
Successfully scaling December
People Powered Health models

23. December

24. December

25. Interested in knowing more?
Check out our websites
www.nesta.org.uk/areas_of_work/public_services_lab/
people_powered_health
www.innovationunit.org/our-services/projects/
people-powered-health
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