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

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

3. © Nuffield Trust You say you want a revolution March 2011

4. © Nuffield Trust We all wanna change the world March 2011

5. © Nuffield Trust You say you got a real solution March 2011

6. © Nuffield Trust 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

7. © Nuffield Trust 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

8. © Nuffield Trust Looking at individual pathways across services March 2011 Start of trial Patterns of service use over 2 years

9. © Nuffield Trust Accident and emergency 350,000 records Outpatients 1,680,000 records Inpatients 360,000 records Social care 240,000 records Community matrons 20,000 records GPs 60 practices 48.5 million records Relative size of data sets collected For one PCT area (WSD project) March 2011

10. © Nuffield Trust One person hospital cost profile over a year 50-60 year old male, total annual cost > £35,000

11. © Nuffield Trust 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

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

14. © Nuffield Trust Overlap of health and social care Looking at all over 55s, registered continuously with local GPs from April 2005 to April 2008 90% of those with a social care contact have also had secondary care contact(s) in the three years

15. © Nuffield Trust Inpatient and SC costs per person in final year, by age band over two lines

16. © Nuffield Trust 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

17. © Nuffield Trust “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 Predict and Prevent?

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

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

20. © Nuffield Trust 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

21. © Nuffield Trust 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

22. © Nuffield Trust Parallel Sessions 15:15-16:00 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 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 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

23. © Nuffield Trust Thank you... Don't you know its going to be.. Alright...? March 2011 www.nuffieldtrust.org.uk Sign-up for our newsletter www.nuffieldtrust.org.uk/newsletter Follow us on Twitter (http://twitter.com/NuffieldTrust) © Nuffield Trust