1. Booking & Choice Colin Innes Executive Lead Choose and Book

2. National responsibilities - previous Organisational Readiness Policy & Performance Development Contract and Programme Mgt System Implementation MA Booking and Choice Implementation DHNPfIT

3. National responsibilities - current Organisational Readiness Policy & performance Development Contract and Programme Mgt System Implementation Booking and Choice Implementation DH Central team managed by C Mitchell

4. User choice is at the heart of the Governments agenda for public sector reform Principles for public sector reform High national standards and clear accountability Devolution of responsibility More flexibility Choice and diversity of provision Guarantees to patients (booking).

5. Why Choice? Two key reasons: Meet Rising consumer (patient and carer) demand for more choice and more control over services Provide new incentives on the providers of public services to ensure they are responsive to user needs within Health, growing evidence that empowered and engaged patients experience better clinical outcomes. provide patients and carers with more information and confirmation of their care plans at critical times.

6. We know patients want more choice within the NHS NB: Only 3% (8% in over 65s) did not want any of these choices Source: Mori

7. Scope: Choice of Hospital will be rolled out for patients requiring elective care By Dec 2005 - Choice at point of GP referral Referrals for 1 st Outpatient Consultation. Referral for whole treatment plan (local after care). Initially, is not compulsory for: chronic disease management Mental health. Paediatric care. Cancer and Clinically urgent (2 week wait) services.

8. Choice at Referral will allow patients to choose when and where they are treated Choice of 4-5 Providers NHS and Foundation Trusts NHS and IS Treatment Centres Independent sector hospitals Extended primary care services (where commissioned as a secondary level service) GP will advise on clinical aspects nhs.uk will provide comparative information a range of support options will ensure equity Electronic Booking System will enable patients to book their appointment at the time they select the hospital / provider of their choice. Choose and Book programme to support roll out, both with and without EBS.

9. Assessment Centres/Referral Management Centres will need to offer choice Key Requirements: Inform patients of when their case assessment will be undertaken. Need to add and demonstrate clinical value. If clinical decision to refer taken: enable patients to choose their hospital and appointment enable patients to discuss their options

10. Assessment services (eg GPwSI, Consultant outreach teams) could offer more choice over what treatment as well as where GP Provider 1. TreatO/P TreatO/P Provider 2. Aftercare Choice Assess. Clinic PC services

11. Likely information requirements by patients GP/Referring professional advise on clinical aspects understands medical history nhs.uk Comparative information: Location Waiting Times Patient Experience Quality E-Booking will provide details of available clinics will be based on PCT Choice menu will provide real time info on available appointments

12. System reforms, development and evolution New contracting arrangements 4-5 providers greater uncertainty on contract volumes dynamic contracting (in year management) new emphasis on risk sharing New emphasis on performance patient values and judgement Greater emphasis on ensuring patients are aware of providers strengths (marketing?)

13. System reform programme is addressing both supply and demand side levers Demand Side Patient Choice Ability to book and guarantee appointments Supply Side Foundation Trusts Treatment Centres Independent Sector TCs Payment by Results Rewards Success Encourage responsiveness and innovation Patients judge Performance

14. Key Events Summer 04E Booking Early Adopter Go Live August 04Choose and Book Policy and Implementation Guidance. August 04Choose and Book Delivery Framework. October 04SHA Implementation Plans Autumn 04Early Adopters offer choice December 0425% Outpatients Fully Booked January 05Choice at referral for cataract patients April 05Contracts to support choice in place June 05 75% Outpatients Fully Booked Dec 05Choice at GP referral fully rolled out 100% Outpatients Fully Booked.

15. Support Delivery Through Guidance and supporting materials Awareness and engagement Deployment of technology based solutions Executive and Clinical Leads

16. Key Events Summer 04E Booking Early Adopter Go Live August 04Choose and Book Policy and Implementation Guidance. August 04Choose and Book Delivery Framework. October 04SHA Implementation Plans Autumn 04Early Adopters offer choice December 0425% Outpatients Fully Booked January 05Choice at referral for cataract patients April 05Contracts to support choice in place June 05 75% Outpatients Fully Booked Dec 05Choice at GP referral fully rolled out 100% Outpatients Fully Booked.

17. Thank You Any Questions?