Bedfordshire PCT WCC Health Market Analysis Workshop 1
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  • Your Team Today - Core Team - Additional sector experts e.g. healthcare transactions, contracting, procurement
  • Diane Meddick Ian Baxter
  • Welcome by Diane - Overview of purpose of session - Mention that PwC hope to address why we should analyse markets and what you should expect from the session today (the 2 pre released qus) Your Session with PwC this Afternoon Key pts: - Interactive learning session - A chance to show you our analysis of your data - You to identify your top 5 priority areas - Decide on 1 priority area to be explored in workshop 2
  • Expectations of the PCT to be added following comments from circulation of agenda PwC to capture the objectives and provide prompts
  • Ian Baxter: 15mins
  • What does HMA aim to achieve? The three objectives
  • Why is there a need for HMA? (1/2) Outline of the current situation and all the problems that there are
  • Insert potential burning platforms to stimulate discussion Identify 3 or 4 potential issues and ask group to comment
  • Any need for change must be based on an evidence base for change Outline of the evidence collected
  • Rachel Abbott: 30mins
  • Overview of the 7 steps Animation formatting doesn’t seem to have transferred…
  • Key questions: Where will Bedfordshire find these skills? Who has these? (Internal or external?) Who will own market analysis going forward?
  • Formatting doesn’t seem to have been transferred…. Peadar wanted to change no 5 “priorities” to “market development opportunities” but will this make this doc inconsistent with all your other docs?
  • Taxomony Explanation of segmentation method
  • Taxomony Explanation of segmentation method
  • Explanation of demand forecast model
  • Explanation of demand forecast model
  • Explanation of demand forecast model
  • Explanation of service analysis model
  • Explanation of service analysis output
  • Explanation of economic attribute analysis
  • Explanation of economic attribute analysis
  • Explanation of how we arrived at the top 5 priority areas
  • Rachel Abbott: 25mins
  • Five top stories have been analysed according to 1. Forecast demand profile 2. Service analysis: quality and quantity 3. Key economic attributes 4. PCT’s strategy, vision and objectives
  • Cara Lewis
  • Each PwC member should be with a group and steer the discussion to the one priority area 15mins per priority area, 5mins per question
  • At “Regroup” Stage IB to facilitate IB to ask each group (7mins per group) - What was the group’s priority target area? - Run through answers to the above stimuli questions - Address any other points the group raises - Ask other groups to contribute by exception CL/RA to fill in a printed table, as above, on a flipchart
  • At “Regroup” Stage IB to facilitate IB to ask each group (7mins per group) - What was the group’s priority target area? - Run through answers to the above stimuli questions - Address any other points the group raises - Ask other groups to contribute by exception CL/RA to fill in a printed table, as above, on a flipchart
  • Ian Baxter
  • Ian Baxter

Bedfordshire PCT WCC Health Market Analysis Workshop 1 Bedfordshire PCT WCC Health Market Analysis Workshop 1 Presentation Transcript

  • Bedfordshire PCT WCC Health Market Analysis Workshop 1 26 th November 2008 Strictly Private & Confidential NHS East of England Health Market Analysis 
  • Welcome and Introductions Section 1
  • Welcome and Introductions PwC Team PricewaterhouseCoopers LLP November 2008 Strictly Confidential PwC Core Team Ian Baxter Ian Brooks Rachel Abbott Peadar O’Mordha Cara Lewis Healthcare Transactions Contracting & Procurement Clinical Health Policy Market Analysis Commissioning
  • Agenda PricewaterhouseCoopers LLP November 2008 Strictly Confidential
    • Identification of Bedfordshire’s top priority area for market development
    • Outline of workshop two’s action planning agenda
    What to Expect from Workshop Two 6
    • Break out session discussion of Bedfordshire’s top five stories
    The Balanced Scorecard II: Check and Challenge Discussions and Conclusions 5
    • Presentation of Bedfordshire’s balanced scorecard of outputs: five top stories analysed
    The Balanced Scorecard I: Key Findings for Bedfordshire PCT 4
    • An outline of PwC’s “Seven Steps Methodology” of market analysis
    • A showcase of Bedfordshire’s critical supply and demand outputs
    • Discussion of how Bedfordshire can sustain market analysis
    Walk Through of the Health Market Analysis 3
    • Key drivers for the current market analysis task
    • What are Bedfordshire’s key objectives for this exercise?
    The Case for Change 2
    • What to expect from your first workshop
    • Your team from PwC
    Welcome and Introduction to the Working Session 1 Key points Agenda item
      • A live working session, co-designed with you
    Our session this afternoon Welcome and Introductions
      • An opportunity to review the Health Market Analysis and:
        • identify demand and supply side characteristics
        • build up a case for change
        • identify your top stories
        • develop market analysis skills for Bedfordshire PCT
        • build a consensus on your priority issue to take forward to workshop two
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • Welcome and introductions
      • ?
      • What are your expectations for today’s session?
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • Evidencing the Case for Change Section 2
      • System reforms in place to create a managed market
        • Choice, PbR, WCC
        • Contestability & Plurality
      • Markets, appropriately levered, can drive improvements in health outcomes for patients and value for money for PCTs and tax payers
      • Health Market Analysis is a critical first step
      • The underlying principal objectives of HMA are to
        • present a structured approach to market analysis and stimulation
        • support Bedfordshire PCT in building a case for change
        • develop your own market analysis skills and understanding
    Evidencing the Case for Change: What are the Objectives of Health Market Analysis? PricewaterhouseCoopers LLP November 2008 Strictly Confidential
      • Health Market Analysis is a key enabler to a larger system management picture
    Evidencing the Case for Change: What are the Key Drivers for Health Market Analysis? Principles and Rules Co-operation and Competition Panel Standard Contract Promotion Code Transactions Manual Procurement Guide/Portal Health Market Analysis CHOICE POLICY PricewaterhouseCoopers LLP November 2008 Strictly Confidential ASSURANCE FRAMEWORK C O N S T I TUT I ON
      • ?
    Evidencing the Case for Change: Bedfordshire’s own ‘burning platforms’
      • What is your local burning platform for analysing the market?
      • How can market analysis support delivery of your WCC Commissioning Strategy Plan?
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • Evidencing the Case for Change: The Need for an Evidence Base Any changes must be based on evidence of a need for change
      • Any case for change must be based on evidence
      • PwC have used a seven step methodology to build this evidence base
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • Walk Through of the Health Market Analysis Section 3
  • The Case for Change: Approach to Market Analysis 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of your Critical Outputs PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • Attributes Needed to Sustain Health Market Analysis in Bedfordshire 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of your Critical Outputs Market analysis is not a “one off” project, constant analysis and evaluation is crucial for long term success
      • ?
      • What skills, capabilities and enablers are needed to take health market analysis and market development forward?
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • Supply analysis 3 The Case for Change: Approach to Market Analysis 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs PricewaterhouseCoopers LLP November 2008 Strictly Confidential Taxonomy 1 Demand forecasts 2 Service analysis 3 Economic attributes 4 Priorities 5 Options 6 Road map 7 Approach to data collection 1 Demand models 2 Market analysis 4 Balanced score card 5 Market development options 6 Road maps 7 Health Market Analysis
  • Taxonomy / Market Segmentation 2 Demand forecasts 3 Service analysis The data collected was based on Programme Budget Categories and allowed further disaggregation 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs This approach underpins the new DH tool for PCTs PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 5 Priorities 6 Options 7 Road map
  • Taxonomy / Market Segmentation 2 Demand forecasts 3 Service analysis The data collected can be further disaggregated into market segments and re-aggregated into contracting units Care pathways Disease groups X X = market segment = contracting unit 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs This approach underpins the new DH tool for PCTs PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 5 Priorities 6 Options 7 Road map
  • 3 Service analysis Demand Forecasts 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs
      • Understanding current and future market developments is essential to strategic commissioning
      • Demand forecasting identifies the underlying drivers of commissioning
      • Our approach to demand analysis and forecasting considered
          • Population size;
          • Population age and ethnic structures;
          • Disease Prevalence;
          • Population lifestyle factors;
          • Patient service consumption behaviours.
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 5 Priorities 6 Options 7 Road map
  • 3 Service analysis Demand Forecasts 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs
      • Sample Output Demand Forecast Tool
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 5 Priorities 6 Options 7 Road map
    • The key output of the Demand Forecast Toolkit was the “Utilisation Risk Index”. This index quantifies the risk of an increase in service utilisation for a given Programme Budgeting (PB) Disease Category, allowing for:
    •      
        • Changes in the size of the population
        • Changes in the age structure of the population  
        • Changes in the ethnic structure of the population  
        • Service consumption behaviours, once a patient has a complaint
    •      
    3 Service analysis Demand Forecasts 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 5 Priorities 6 Options 7 Road map
    • The analysis looks at the quality of health services along 5 metrics:
      • Acceptability / Patient-centred
      • Access / Timeliness
      • Effectiveness/Safety
      • Efficiency
      • Equity
    • The selected metrics are specific to a PB Category, for example:
      • Programme Budgeting Category: problems of circulation
      • Quality criteria: access
      • Metric: Number of patients waiting more than 9 weeks for elective
        • admission for a vascular procedure
    Service Analysis 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities 6 Options 7 Road map
  • Service Analysis 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs PCT dashboard of service quality – new metrics can be added to the model PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities 6 Options 7 Road map
  • Economic Analysis 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs Headline statistics Market description Expenditure Providers Contracting Cross-PCT summary statistics Summary expenditure Summary providers Summary contracting EoE service patterns Supply-side patterns Demand-side patterns What do existing markets look like vs. the EoE average? How do markets compare to those in other PCTs? What does East of England-level data tell us about service attributes? Key components of economic analysis PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities 6 Options 7 Road map
  • Economic Analysis 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs A skeletal model of economic analysis can be updated based on the initial data collection template PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities 6 Options 7 Road map
  • Priorities 7 Road map Service quality analysis Strategic alignment Demand analysis Expenditure 3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs Balanced score card approach Key findings from analysis were considered along side your strategic goals and initiatives to identify key areas for market development Options and actions for market development in these areas are set out in your Road Map 6 Options PricewaterhouseCoopers LLP November 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities Balanced score card 5 Market development options 6 Road maps 7 Health Market Analysis
  • Attributes Needed to Sustain Health Market Analysis in Bedfordshire Market analysis is not a “one off” project, constant analysis and evaluation is crucial for long term success
      • ?
    3 1 2 Attributes Needed to Sustain Market Analysis The Seven Step Methodology Show Case of Your Critical Outputs
      • What skills, capabilities and enablers are needed to take health market analysis and market development forward?
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • The Balanced Scorecard I: Key Findings for Bedfordshire Section 4
      • Service segments corresponding to the 23 budget categories have been prioritized in a balanced scorecard
      • The scorecard’s four criteria are
        • Demand forecast
        • Service analysis
        • Market structure
        • Bedfordshire PCT’s strategy, vision and objectives
      • The top five priority areas for market development have been identified
    The Balanced Scorecard: Key Findings PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • The Balanced Scorecard: Key Findings PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • The Balanced Scorecard II: Check and Challenge Discussions and Conclusions Section 5
      • Each of three groups will discuss two of the five priority areas
      • The questions overleaf are useful prompts
      • Each group should focus on a specific area for changing the market
      • Each group will present back on their discussion and conclusions
      • The aim of this exercise is to prioritise specific areas for market development action
    The Balanced Scorecard: Check and Challenge Discussions 25 min small group discussions 25 min plenary session The Activity PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • The Balanced Scorecard: Check and Challenge Discussions Key Discussion Stimuli PricewaterhouseCoopers LLP November 2008 Strictly Confidential Two One What are the next market development steps? Do you recognise this as a market development priority? How does developing this market support your strategy?
  • The Balanced Scorecard: Check and Challenge Discussions
      • ?
    • Do you recognise this as a market development priority?
    • How does developing this market support your strategy?
    • What are the next market development steps?
    PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • What to Expect from Workshop Two Section 6
      • What is Bedfordshire PCT’s priority area for PwC’s workshop two?
      • The format of the action planning workshop
      • Critical success factors for workshop two
    The Next Step: What to Expect from Workshop Two PricewaterhouseCoopers LLP November 2008 Strictly Confidential
  • Conclusions and Feedback Section 7
      • What went well?
      • What didn’t go well?
      • What would you change and why?
      • What are your expectations for the next working session?
      • Any additional comments
    Market Analysis Workshop One: Your Feedback on Today’s Session PricewaterhouseCoopers LLP November 2008 Strictly Confidential