A Surrey Heartlands Efficiencies workshop was held on 1st February which brought together national leads for programmes such as RightCare, Getting it Right First Time (GIRFT) and the Model Hospital.

Keynote speaker was Professor Sir Muir Gray (right) who holds a number of senior positions including Chief Knowledge Officer to the National Health Service.

Sir Muir told the audience that we should always be aiming to provide what he describes as ‘triple value’:

  • Allocative value determined by how well healthcare assets are distributed to different sub groups in the population
  • Technical or utilisation value determined by how well resources are used for outcomes for all the people in need in the population
  • Personalised value, determined by how well the outcome relates to the values of each individual

He added that waste is anything that does not add value.

Overall, the event looked at our local Surrey Heartlands patient and performance data to identify opportunities for quality improvement and future efficiencies. This was a new approach offered to us by the national team as part of our devolution agreement.

In addition to leaders of national NHS organisations – including NHS England Director of Finance Paul Baumann – more than 100 Board-level and other senior managers from across Surrey Heartlands attended the event. Following discussions in the morning on the national context and reviewing the local data, the afternoon was spent reflecting on Surrey Heartlands priorities for 2018/19.

A recurring theme at the workshop was the need to focus on population health management to understand our gaps in health and wellbeing and to enable us to target change in the right areas. A system wide population health workshop is now being planned for April with the support from NHS England.

Information was shared with the audience around healthcare variation and what the future might look like.  Healthcare can vary in different ways: in its quality, safety, equity, outcomes, the money spent and the types of service used. Some variation is expected, often linked to levels of illness or patient-preference, but some is ‘unwarranted’ and cannot be explained by the same causes.

Discussion was also held around the workstreams that Surrey Heartlands are working on and how these are moving forward, if they are spreading themselves too thin and trying to cover too much in one go and therefore not necessarily making the impact they would want to make.

Work has continued over the last couple of weeks to refresh our overall programme and the workstreams within it, building upon the opportunities identified at the Efficiencies workshop.