GPS: activity/demand data requirements

Pete Jeffries – CMO’s Senior Projects Manager Birmingham Children’s Hospital

Aiming to:

• Outline of some of the data we can access – and it’s limitations!

• Not a focus on detail but prompt discussion of how this might assist network discussions

• A brief reflection on demographics/challenges

• Lead into discussion of the potential benefits of working in a network

The bulk of GPS?

Elective:

Inguinal HerniotomyUmbilical HerniotomyOrchidopexy for undescended testicleCircumcisionExcision of skin lesion Emergency:

AppendicectomyLaparotomyObstructed hernia/Obstructed hernia repairScrotal explorationAbscess drainage / Incision and drainage of abscessPyloromyotomy

Activity: a HRG example:

Potential issues:

• Subject to coding/data quality issues

• We can’t look by specialty

• Some HRG’s are (relatively) discreet – others are much more diffuse with many OPCs codes

• Outpatient activity?

• Is HRG specific enough?

BCH ‘market share’:

BCH ‘market share’:

Potential issues:• Clunky

• Difficult to see any real patterns at HRG level

• Linking ‘cause and effect’

Demographic pressure:

Demographic pressure:

• Our patients range from 0-19 years old and ONS statistics for the West Midlands suggests that this population will increase from 1.34m (2012) to 1.45m (2033), a rise of 8%, now close to 12%

• This is a very conservative estimate – not accounting for recent changes in birth rate and migration.

The challenges facing BCH:

The Key components of a ‘good’ managed clinical network – needs to be supported by good data:

Continuous measurement of

shared quality measures in a

single dataset used to drive quality improvement

A single mission, vision, strategy, objectives and delivery plan

Patient involvement in

service planning

Clear arrangements for delivery in each

provider in the network

Defined pathways of care, based on best

evidence

Shared learning and professional development

across the network

Delivering excellent care today….

Striving to make it even better…

Shaping excellent care for tomorrow…

Any questions?