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Acute Healthcare Services in East of England
Technical Analysis
Simon Wood
December 2006
• Clinical outcomes
• Clinical sustainability
• Financial sustainability
Drivers for Reconfiguration
General surgery 300,000
Cancer surgery 1 million
Haemato-oncology 500,000
Burns 5 million
Oral & maxillofacial surgery 1 million
Neonatal intensive care 1.5 million
Vascular surgery 500,000
Urology 500,000
Clinical Guidelines (1) – Catchment
Populations
(1) Clinical outcomes and/or clinical sustainability
Other Clinical Guidelines (1)
Paediatric surgery
Cardiology
Stroke Services
Emergency Paediatrics
Ophthalmology
ENT
Renal Medicine
(1) Clinical outcomes and/or clinical sustainability
Population per General Hospital across Strategic Health Authorities
Source : IPPR Briefing – Hospital reconfiguration, Sep 2006
EoE Data Analysis
• Catchment populations – Southend 310,000 (EoE range 530,000 to 165,000)
• Births – Southend 3,600 (EoE range 5,500 to 2,100)
• Standardised activity rates per 1,000 weighted population (draft) – South-East Essex PCT 112
• Significant progress required to comply with 2009 European Working Time Directive standards (surgery & medicine; Southend at EoE average)
Key Pressure Points
• Emergency Surgery
• Local Emergency Services
• Maternity Services
Financial Position
• Large historic and underlying deficit
• Payment by Results will put additional cost pressures on PCTs and improve position of Acute Trusts
• Growth in income after 2007/08 will be modest
1. Surgical Subspecialisation
2. Maternity
3. European Working Time Directive
4. Acute Commissioning
5. Technical (Weighted Capitation, Population Growth)
Proposed General Workstreams