1. Delivering Prescribing Efficiencies: Introduction Dr Robert Winter OBE NHS East of England Medical Director Delivering Prescribing Efficiencies: Introduction Dr Robert Winter OBE NHS East of England Medical Director 08/02/2011

2. Today’s Objectives The current National and Regional picture. Sharing Best Practice from within the Primary Care setting. Focus on Specials –Presentations –‘Bring your own’ Ideas, actions and goals to take into FY 11/12 and beyond…

3. The Agenda Carol Roberts (NHS East of England) Addition Herts Self Care Programme - Pauline Walton (NHS Hertfordshire)

4. Focus on Specials

5. QIPP: Quality and Productivity “the NHS needs to recognise that improving quality and value for money go hand in hand”

6. x The Regional Challenge

7. 1.Delivering Sustainable Care 2.Improving Mental Health Services 3.Improving End of Life Care 4.Delivering Prescribing Efficiencies 5.Transforming Community Services 6.Improving Healthy Lifestyles 7.Delivering Specialised Commissioning Services 8.Improving Emergency Ambulance Services 9.Delivering Acute Workforce Changes 10.Delivering Collaborative Procurement Efficiencies 11.Transforming Pathology Services 12.Providing Safe Care 13.Improving Adoption and Spread The 13 QIPP Workstreams

8. “Changing our NHS Together” Brings together QIPP Liberating the NHS With our regional vision Towards the best, Together EoE – is committed to improving the quality of services in a rapidly changing environment

9. Liberating the NHS key elements The development of PCT clusters The development of GP lead commissioning Provider development Joint working with Local Authorities Patient Involvement Capacity and Capability Information management and technology Workforce planning

10. 8 Commissioner Lead Workstreams savings Pathway Redesign£509m Mental Health£117m End of Life£ 15m Prescribing£ 89m Community Services£ 60m Prevention£ 15m Specialised Commissioning£ 61m Ambulance Services£ 15m

11. £89 million target. System-led delivery. All areas of care. Changing landscape and structure. Consortia engagement. The Scope of Prescribing

12. To improve the quality of prescribing in primary care. To support cost effective treatment initiatives To reduce the prescribing of drugs of limited clinical value. To reduce the amount of waste. Ensure that regional drug, and medical device, procurement initiatives are in place, delivering lower unit costs. Objectives

13. Support local systems in the delivery of the agreed quality and productivity improvements. Agree KPIs and oversee regional progress. Link to the national workstream. Identify and disseminate best practice and coordinate regional events to encourage adoption and spread. System-led Delivery

14. GP Consortia Joint working with the GP Consortia essential for delivering prescribing efficiencies. 30 Pathfinder applications. 12 Pathfinders authorised covering 40% population. Estimated 25 GP Consortia. Pathfinder Event at Number 10 last week.

15. New Challenges and Opportunities Over the next four years: We will continue to deliver our clinically led vision of an improved NHS, ensuring better outcomes. This is Towards the best, Together. We will save £1.6bn in efficiencies to reinvest for these better outcomes. This is QIPP. We will change the NHS to put accountability and power as close to the patient as possible, into the hands of GPs. This is Liberating the NHS.

16. Thank you. Questions/comments For more information please visit www.eoe.nhs.uk