1. 1 Click to edit Master subtitle style Click to edit Master title style Richard Dale MB BS FRCS Medical Director 6 December 2006 IS EFFICIENCY ENOUGH?

2. 2 The presentation will cover: 1/ Delivering on Reform 2/ ISTC Programme Overview 3/ Impact of ISTC Programme 4/ Delivering a patient-led service 5/ Efficiency Is Efficiency Enough?

3. 3 To provide commercial and procurement expertise helping to drive efficiency and to secure best value-for-money through better and smarter procurement of goods and services Vision

4. 4 The Commercial Directorate acts as an enabler providing sustainable provision of Independent Sector services to meet policy goals on choice and contestability through: Commissioning Procurement Contract Management Delivering on Reform

5. 5 ISTC Programme - Overview As part of overall commitment to improving healthcare, the Commercial Directorate is working with NHS locally to procure clinical and diagnostic healthcare services for NHS patients, from the independent sector. ISTC programme Launched in 30 July 2003 to support NHS reform focussed on reducing patient waiting times 18 wks end to end - Introduction of additional capacity to help NHS meet 2008 target

6. 6 Impact of ISTC Programme Faster access, increased choice, improved services and better value for money Providing more capacity, choice and contestability Delivering on our commitments on 18 weeks and choice

7. 7 Delivering a patient-led service Reform cannot be driven by injecting cash into the system. System reform, of which the independent sector is a crucial element, will create an efficient and patient-led service, delivering choice and quality through: Plurality of Provision Contestability Where providers know that their future relies on the ability to attract patients, not on historic activity levels, the system becomes more patient focussed and more concerned with outcomes

8. 8 Efficiency Efficacy What can be achieved Effectiveness What is achieved Efficiency At what cost? Or is it? How well it is achieved

9. 9 Is Efficiency Enough? It depends how you measure efficiency: Quality is as important as cost measurement Patients interested in results Quality a key determinant of success long-term The focus must shift to quality!

10. 10 Intangible Benefits Shift the paradigm Change of mindset Shift emphasis to quality

11. 11 In Conclusion Efficiency is not enough but is extremely important!