The document summarizes the agenda for the Annual Health Strategy Summit hosted by the Nuffield Trust. Over the course of the summit, various speakers will discuss topics like using digital technologies to improve NHS productivity, measuring health outcomes, and allocating healthcare budgets to general practices. Breakout sessions will explore issues at the interface of health and social care, the use of telehealth technologies to manage chronic diseases, and how to predict and prevent health issues rather than just treat them.

1. Annual Health Strategy Summit
Dr Martin Bardsley
Head of Research
Nuffield Trust
Twitter: #NTSummit
© Nuffield Trust

2. Annual Health Strategy Summit
Nuffield Data Lab
Martin Bardsley
Head of Research, Nuffield Trust
March 2011 © Nuffield Trust
Twitter: #NTSummit

3. You say you want a revolution
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4. We all wanna change the world
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5. You say you got a real solution
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6. Breakfast session tomorrow
8am - 8.45am
The digital and Information revolution: how can the NHS
make digital productivity real?
Tim Kelsey, Trustee, Nuffield Trust
Sophia Christie, Director of Alignment and Co-ordination,
Improvement, Efficiency and QIPP, Department of
Health
Azalea Room
© Nuffield Trust

7. Key challenges and opportunities
• Outcome measurement
• Information to enable patients, service users and their
carers to make fully informed choices
• Using new information technologies to create efficiencies
• Exploiting information across organisational boundaries
• Allocating resources
Information at the individual level
© Nuffield Trust

8. Looking at individual pathways across services
Start of trial
Patterns of service use over 2 years
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9. Relative size of data sets collected
For one PCT area (WSD project)
Accident and Outpatients Inpatients Social care Community GPs
emergency 1,680,000 records 360,000 records 240,000 records matrons 60 practices
350,000 records 20,000 records 48.5 million records
March 2011 © Nuffield Trust

10. One person hospital cost profile over a year
50-60 year old male, total annual cost > £35,000
Outpatients DayCase Elective AE Nonelective
Time (weeks) © Nuffield Trust

11. Uneven distribution of costs
The proportion of total costs
spent on patients with
category of annual costs
(area of shape) with the
proportion of all patients in
annual cost band (dots)
Around 3% of patients are
responsible for nearly half the
total patient costs
© Nuffield Trust

12. Identifying patient costs at GP Practice level
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General population: Mix of predicted future costs Practice population
@ £10,000 per person per year @ £1,000 per person per year @ £100 per person per year © Nuffield Trust
© Nuffield Trust

13. Breakout Session Azalea Room
Allocating healthcare budgets to general
practices
Professor Peter Smith, Professor of Health Policy, Imperial
College London
Chair: Dr Jennifer Dixon, Director, Nuffield Trust
Azalea Room
© Nuffield Trust

14. Overlap of health and social care
Looking at all over 55s, registered
continuously with local GPs from April
Registered pop
2005 to April 2008
77,000
Secondary care
53,000
[69% of reg'd pop]
90% of those with a social
care contact have also had
Social care secondary care contact(s)
contact 13,000
[17% of reg'd in the three years
pop]
© Nuffield Trust

15. Inpatient and SC costs per person in final year, by age
band
over two lines
£12,000
£10,000
£8,000
£6,000
Social care
£4,000
Hospital IP care
£2,000 SC+ Hosp
£0
40 50 60 70 80 90 100
Age Band
© Nuffield Trust

16. Breakout Session Bay Room
Interface of health and social care
David Behan, Director General Of Social Care, Local
Government and Care Partnerships, Department of Health
Chair: Dr Geraint Lewis, Senior Fellow, Nuffield Trust
Bay Room
© Nuffield Trust

17. Predict and Prevent?
“Realising the savings needed to invest in improving
outcomes means moving from a system configured
to diagnose and treat, to one configured to predict
and prevent”
David Nicholson. Letter to NHS 17th Feb 2011
© Nuffield Trust

18. Emergency inpatient admissions for four selected
ambulatory care sensitive conditions 2001-2010
Combined net
difference in
emergency
admissions
between 2001/2
and 2009/10:
+77,652
-38,138
-28,563
+3,517
0
© Nuffield Trust

19. Impact of eight different interventions on hospital use
© Nuffield Trust

20. Evaluation of telecare and telehealth
“For every pound spent on telecare, five pounds could be saved on expensive hospital and
residential care” Counsel and Care, 2009
© Nuffield Trust

21. Breakout Session Begonia Room
Telehealth technologies and the management
of chronic disease
Stephen Johnson, Head of Long Term Conditions,
Department of Health
Chair: Dr Martin Bardsley, Head of Research, Nuffield Trust
Begonia Room
© Nuffield Trust

22. Parallel Sessions 15:15-16:00
Allocating Professor Peter Smith, Professor of Azalea
healthcare budgets Health Policy, Imperial College London
to general practices Chair: Dr Jennifer Dixon, Director,
Room
Nuffield Trust
Telehealth Stephen Johnson, Head of Long Term Begonia
technologies and Conditions, Department of Health
the management of Chair: Dr Martin Bardsley, Head of
Room
chronic disease Research, Nuffield Trust
Interface of health David Behan, Director General Of Bay
and social care Social Care, Local Government and
Care Partnerships, Department of
Room
Health
Chair: Dr Geraint Lewis, Senior Fellow,
Nuffield Trust
© Nuffield Trust

23. Thank you...Don't you know its going to be.. Alright...?
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