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Norfolk PCT WCC Health Market Analysis Workshop 1
 

Norfolk 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
  • Rachel Abbott: 30mins
  • Key questions: Where will Norfolk 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
  • 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
  • Cara Lewis
  • Define “a market”
  • Introduce the segmentation of markets here
  • 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

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

  • Norfolk PCT WCC Health Market Analysis Workshop 1 19 th December 2008 Strictly Private & Confidential NHS East of England Health Market Analysis 
  • Welcome and Introductions Section 1
  • Welcome and Introductions PwC Team PricewaterhouseCoopers LLP December 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 December 2008 Strictly Confidential
    • Outline of workshop two’s action planning agenda
    What to Expect from Workshop Two 13.15-13.30 7
    • Definition of a health market
    • Outline of our three step methodology for market development action planning
    Introducing a methodology for market development action planning 12.30-13.15 6
    • Group discussion of Norfolk’s top five stories
    • Identification of specific areas for market development actions
    Check and Challenge Discussions and Conclusions 11.45-12.30 5
    • Presentation of Norfolk’s balanced scorecard of outputs: five top stories analysed
    Key Findings for Norfolk PCT 11.30-11.45 4
    • An outline of PwC’s “Seven Steps Methodology” of market analysis
    • A showcase of key deliverables
    • Discussion of how Norfolk can sustain market analysis
    Walk Through of the Health Market Analysis 11.00-11.30 3
    • Key drivers for the current market analysis task
    • What are Norfolk’s key objectives for this exercise?
    The Case for Change 10.45-11.00 2
    • An introduction from John Harris
    • What to expect from the workshop
    • Your team from PwC
    Welcome and Introductions 10.30-10.45 1 Key points and description for 19/12/2008 Agenda item Timing
      • 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 Norfolk PCT
        • build a consensus on your priority issue to take forward to workshop two
    PricewaterhouseCoopers LLP December 2008 Strictly Confidential
  • Welcome and introductions
      • ?
      • What are your expectations for today’s session?
    PricewaterhouseCoopers LLP December 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 Norfolk 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 December 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 December 2008 Strictly Confidential ASSURANCE FRAMEWORK C O N S T I TUT I ON
      • ?
    Evidencing the Case for Change: Norfolk’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 December 2008 Strictly Confidential Any changes must be based on evidence of a need for change
  • Walk Through of the Health Market Analysis Section 3
  • Attributes Needed to Sustain Health Market Analysis in Norfolk 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 December 2008 Strictly Confidential
  • Supply analysis 3 The Case for Change: Approach to Market Analysis PricewaterhouseCoopers LLP December 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 This approach underpins the new DH tool for PCTs PricewaterhouseCoopers LLP December 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 This approach underpins the new DH tool for PCTs PricewaterhouseCoopers LLP December 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 5 Priorities 6 Options 7 Road map
  • 3 Service analysis Demand Forecasts
      • 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 December 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 5 Priorities 6 Options 7 Road map
  • 3 Service analysis Demand Forecasts
      • Sample Output Demand Forecast Tool
    PricewaterhouseCoopers LLP December 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 PricewaterhouseCoopers LLP December 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 PricewaterhouseCoopers LLP December 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities 6 Options 7 Road map
  • Service Analysis PCT dashboard of service quality – new metrics can be added to the model PricewaterhouseCoopers LLP December 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities 6 Options 7 Road map
  • Economic Analysis 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 December 2008 Strictly Confidential 1 Taxonomy 4 Economic attributes 2 Demand forecasts 3 Service analysis 5 Priorities 6 Options 7 Road map
  • Economic Analysis A skeletal model of economic analysis can be updated based on the initial data collection template PricewaterhouseCoopers LLP December 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 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 December 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 Norfolk 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 December 2008 Strictly Confidential
  • Key Findings for Norfolk 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
        • Norfolk PCT’s strategy, vision and objectives
      • The top five priority areas for market development have been identified
    The Balanced Scorecard: Key Findings PricewaterhouseCoopers LLP December 2008 Strictly Confidential
  • The Balanced Scorecard: Key Findings PricewaterhouseCoopers LLP December 2008 Strictly Confidential
    • The five key market development opportunities for Norfolk PCT that have emerged directly from analysis undertaken as part of the HMA project are:
    • Stimulate competition in community based Coronary Heart Disease services
    • 2. Introduce additional dental service providers
    • 3. Performance management and indirect competition in cancer services
    • 4. Deliver more maternity service outside of the acute setting
    • 5. Improve contracting for trauma and injuries
  • Check and Challenge Discussions and Conclusions Section 5
  • Check and Challenge Discussions
      • ?
    • Do you recognise this as a market development priority?
    • What are the key issues with this service? Quality? Demand?
    • How does developing this market support your strategy?
    • What may be the next market development steps?
    • What is the key area for market development to take forward into action planning during the next workshop?
    PricewaterhouseCoopers LLP December 2008 Strictly Confidential Key discussion stimuli
  • Introducing a methodology for market definition and market development Section 6
      • A market is defined as…
      • … any space in which the sellers of a particular good or service can meet with the buyers of that good or service and there is a potential for a transaction to take place
      • Any healthcare market can be split into a number of care pathways
      • A number of stages of care occur along each care pathway
    PricewaterhouseCoopers LLP December 2008 Strictly Confidential What do we mean by a market?
  • PricewaterhouseCoopers LLP December 2008 Strictly Confidential Columns: Porter pathway stages Rows: based on patients’ needs A potential market segmentation: a framework for lateral thinking within health V IV III II Long term care / management / monitoring Diagnosis Prevention Intervention Preparation Rehabilitation I Total Pathway
  • Lateral thinking within health
      • ?
    • How does lateral thinking support market development and strategic commissioning?
    • Do you think about health service markets in this way?
    • What do you know about the health service market that could help build up a lateral picture of health services?
    • What are the information gaps of challenges for lateral thinking about health service markets?
    PricewaterhouseCoopers LLP December 2008 Strictly Confidential
  • What to Expect from Workshop Two Section 7
  • Overview of Workshop 2 In workshop 2 we will use the market segmentation framework to better define the market and the need for change, building up a ‘pathway heat map’ based on market analysis and local experience. Step 1: Key findings from health market analysis Defining the need for change Output 1: Pathway heat map and identification of a market “hotspot” Step 2: Additional local analysis and experience V IV III II Long term care / management / monitoring Diagnosis Prevention Intervention Preparation Rehabilitation I Total Pathway
  • Overview of Workshop 2 With a well defined understanding of the need for change we will work through the steps for developing what the future for the service should look like and the key steps for making it happen Defining the need for change Developing the future requirement Implementing the change plan
  • Conclusions and Feedback Section 8
      • 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 December 2008 Strictly Confidential
  • This publication has been prepared for general guidance on matters of interest only, and does not constitute professional advice. You should not act upon the information contained in this publication without obtaining specific professional advice. No representation or warranty (express or implied) is given as to the accuracy or completeness of the information contained in this publication, and, to the extent permitted by law, PricewaterhouseCoopers LLP, its members, employees and agents do not accept or assume any liability, responsibility or duty of care for any consequences of you or anyone else acting, or refraining to act, in reliance on the information contained in this publication or for any decision based on it. © 2008 PricewaterhouseCoopers LLP. All rights reserved. 'PricewaterhouseCoopers' refers to PricewaterhouseCoopers LLP (a limited liability partnership in the United Kingdom) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. 