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HFMA 2011

30 November - 2 December 2011

Hilton London Metropole

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  • Online bookings for this event are now closed. If you would like to book a place please email sarah.gooding@hfma.org.uk to check availability.

    This year's annual conference - the most important event in NHS finance - takes its title from the president's theme, 'Take Control'. During the three days, you will have the opportunity to hear from some of the most prominent figures in the NHS along with key policy makers, politicians, professional and technical experts. As well as being an excellent professional development event, the conference offers great value for money, a valuable networking opportunity and a comprehensive exhibition area.

  • Agenda:

    • 30/11/2011
      • 1:00 PM
        • Conference Registration and Exhibition
      • 2:15 PM
        • LEARNING LAB WORKSHOP 1A - MAKING PATHWAYS FIT FOR PATIENTS

          Speaker: Helen Northall, Chief Executive, Primary Care Commissioning

          A central objective of clinical commissioning is that clinicians should be able to co-design care pathways with patients that deliver not only the best possible care in the most appropriate settings, but also value for money for the NHS and taxpayers. Integrated care promises a better patient journey with fewer hand-offs between services and better information flows. Can competition and collaboration deliver improved care pathways, increase quality and lead to productivity improvements. Commissioners also face potential conflicts of interest if the best care is delivered by their own provider organisations. Resolving these dilemmas is central to the success of clinical commissioning.

        • LEARNING LAB WORKSHOP 1B - NHS EVIDENCE QIPP COLLECTION CASE STUDIES

          Speaker: Paul Chrisp, Associate Director – Accreditation, NHS Evidence, National Institute for Health and Clinical Excellence

          Learn how NHS Evidence – a service provided by NICE - is bringing together real life case studies to provide an authoritative source of ideas you can use locally to deliver greater quality and productivity. In addition to Paul Chrisp, Associate Director at NHS Evidence, showcasing the QIPP Collection and how you can get involved in its development and dissemination, you will also be able to hear from NHS organisations who have successful case studies on the QIPP Collection about their work.

        • LEARNING LAB WORKSHOP 1C - CLINICAL AUDIT: A BRAVE NEW WORLD?

          Speaker: Paul Dossett, Partner, Grant Thornton UK LLP

          Clinical audit has traditionally had a low profile and its findings are not transparent. With the increased focus from Monitor on quality and the role of clinical audit in providing assurance, clinical audit needs to be reported with clear and consistent action plans with graded recommendations and timetables for follow up. They should beincluded as part of an integrated risk-based source of assurance for governance and audit committees.
          This session aims to:
          • Reduce isolation between clinical and finance departments to help meet the common goal of frontline patient care
          • Raise the finance team's understanding of service offerings within a service line so that they can add value by making the financial information they provide more relevant – improving integration and communication between departments
          • Assist senior finance staff use of clinical audit in the context of its impact on statement on internal control and the annual report
          • Use clinical audit to inform the Monitor assessment process and governance rating.

        • LEARNING LAB WORKSHOP 1D - PERFORMANCE THROUGH ENGAGEMENT - BETTER QUALITY OF CARE AT LESS COST

          Elaine Konieczny, Deputy Director of Finance, Sherwood Forest Hospitals NHS FT and Martin Smith, Senior Practitioner, Unipart Expert Practices

          Experience has shown that the best way to deliver sustainable performance improvements in the NHS is through creating a continuous improvement culture. By engaging staff at all levels to continually identify, realise and sustain improvement opportunities, NHS organisations can provide excellent patient care at less cost.

          Elaine Konieczny, HFMA Deputy Finance Director of the Year 2010, will provide an insight into how Sherwood Forest Hospitals NHS Foundation Trust has applied this approach to date in theatres, outpatients, recruitment and management development. Iin doing so, the trust has been recognised by NHS East Midlands as an example of innovation in delivering the QIPP agenda.
          Elaine will be joined by a clinical team member who will share their experience of implementing and sustaining the changes in their area [?clinical area/ specialty/ clinical directorate].
          Alongside the case study, this session will provide attendees with an overview of how employees can deliver extraordinary results given the correct leadership, guidance and support. It will explore:
          • The right organisational framework to support the changes that will be made
          • The role of leadership in understanding what has to be done and its commitment to doing it for the long term
          • A body of knowledge about what to do to improve your organisation’s performance
          • Capability development, providing employees with the tools, skills and confidence to focus on eliminating waste and continuously improving day-to-day processes, with a clear focus on meeting and exceeding patient needs.

        • LEARNING LAB WORKSHOP 1E - HOW CAN THE NHS DRIVE VALUE FROM PROCUREMENT?

          Speaker: Phil Wright, NHS Supply Chain and
          Chris Slater, Head of Supplies, Leeds Teaching Hospitals NHS Trust

          The Department of Health has developed a draft procurement strategy for the NHS, which aims to achieve ‘best-in-class performance’. In addition to the national policy direction, there has been significant progress with improving procurement at all levels in the NHS. Modernisation of procurement practices and processes such as e-procurement present both the NHS and suppliers with a clear opportunity to improve value for money and reduce process costs along the healthcare supply chain. Through using cases studies and examples, this session will explore how improved products and innovation in procurement can help to meet the QIPP challenge by driving down costs and improving patient care.

        • LEARNING LAB WORKSHOP 1F - PATIENT LEVEL COSTING - FLYING THE STANDARD

          Fiona Boyle, Finance Manager Service Line Reporting, Southampton University Hospitals NHS Trust, and HFMA Acting Costing Lead and Claire Walsh, Deputy Business Accountant – Income and Costing, Salford Royal NHS FT and member of HFMA Costing Special Interest Group

          Costing activities at the patient level is a powerful tool in informing the efficient redesign of pathways, elimination of waste and the reduction of costs. By analysing costs at a level that makes sense to clinicians, organisations can gain a full understanding of the reasons behind cost variations between different patients. Compiling these costs in a common way across the NHS ensures costs are apportioned in a robust, meaningful way and opens up the possibility for benchmarking. This is where the Acute health clinical costing standards come in. Now published by the HFMA, the standards prescribe a common, best practice approach to patient level costing. They provide vital support for organisations preparing to introduce patient level costing systems and for existing patient-level costing sites looking to test their own processes and refine their approach. This session looks at how the standards can be used to improve local approaches to costing – from improving allocation to undertaking a self-assessment of the quality of the costing data produced. It will also look at two case studies, examining how patient level costing is being used to drive service improvement and efficiency and inform decision making.

        • LEARNING LAB WORKSHOP 1G - HOW TO SELL YOURSELF EFFECTIVELY AND PRESENT YOURSELF IN THE BEST POSSIBLE WAY

          Speaker: Chris Hughes, The Hughes Company

          International speaker Chris Hughes will be sharing his genuinely useful, easy to apply tools and techniques that get real results. His humorous yet very relevant workshop session will help you to:
          • Sell yourself effectively every time – what to do and how to say the right things to really demonstrate your ability
          • Grow your confidence in interview and meeting situations – avoiding nerves and anxiety
          • Present yourself in the best way possible and avoid the three main reasons why people don’t succeed in coming across in the right way.

          Chris is an expert at helping people to maximise their potential. He’s achieved great success with the largest firms in the world like Deloitte, Shell and Disney as well as many SMEs, local councils, professional services organisations and professional sporting teams. Join us and get ready for an inspiring session focused on helping you to achieve real progress.

        • NOT ATTENDING LEARNING LAB WORKSHOP 1

          Please select this option if you are not attending a workshop at this time

      • 3:30 PM
        • Tea and Exhibition
      • 4:00 PM
        • LEARNING LAB WORKSHOP 2B - SUPPORTING CLINICAL COMMISSIONING GROUPS IN DEVELOPING THEIR COMMISSIONING CAPABILITY: CASE STUDY NHS WAKEFIELD DISTRICT

          Speaker: Rachel Spilsbury, Head of Information, NHS Wakefield District
          Sponsored by Advanced Business Solutions
          Case Study - NHS Wakefield District
          NHS Wakefield District has made significant advances in leading edge business intelligence to provide an accurate and valuable insight into how the consortias and the PCT are performing in direct relation to the health needs of its population. The flexibility of the solution has also enabled the organization to adapt quickly to the changing needs of the consortia whilst achieving efficiency savings at PCT and cluster level.
          The organization will provide an overview of how the solution will gather information from a large array of data sources in order to provide a holistic view of the underlying needs of the population. It will also give GP commissioners and a wider user base timely and accurate information on which to base effective investment decisions.

        • LEARNING LAB WORKSHOP 2C - INCREASING THE EFFICIENCY AND EFFECTIVENESS OF THE FINANCE FUNCTION

          Speaker: Sue Jacques, Director of Finance and Deputy Chief Executive, County Durham and Darlington NHS FT and Matthew Hodge, Director of Assurance Practice, PwC

          The scale of the QIPP challenge in the coming years is of such a scale that it will require increased productivity across all NHS activities. In particular, waste will have to be removed from frontline activities and patient pathways redesigned to identify opportunities to improve quality and cut costs. Back office support functions will need to make a contribution to the savings or at the very least demonstrate their value. While finance might be expected to support the wider productivity drive, it may also need to lead by example by reducing its own costs. County Durham and Darlington NHS FT have made significant headway in this area. This session will explore the challenges and evolving role of finance functions and how finance teams are balancing competing demands. Sue Jacques will also discuss what her trust is doing to reduce finance function costs and to demonstrate efficiency and effectiveness across the function.

        • LEARNING LAB WORKSHOP 2D - MANAGING STAFF COSTS

          Speakers: Paul Scandrett, Director of Healthcare, Anne Bennett, County Durham and Darlington NHS FT and Ian Child, Deputy Finance Director, Basildon and Thurrock University Hospitals NHS FT

          NHS staff may be the service’s greatest resource, but ensuring the right staff are available to meet the demands of a 24/7 service – both in terms of numbers and skill mix –is no easy feat. Getting it wrong could have consequences for patients and standards of care, but there can also be a financial penalty from sub-optimal staffing of shifts and rotas. Using case studies and practical examples, this session will explore a range of options for managing and reducing staff costs focusing on the following:
          • The pros and cons of using temporary staffing
          • Using in-house Bank staff to reduce agency staff
          • Reducing reliance on temporary/agency staff through e-rostering
          • Managing sickness absence.

        • LEARNING LAB WORKSHOP 2E - HEALTHCARE EFFICIENCY - MAXIMISING THE USE OF THE ESTATE

          Speaker: Conor Ellis, Global Account Leader, EC Harris

          The NHS spends around £7bn per annum on the total NHS estate. While, the focus of expenditure savings have, rightly, been around clinical engagement and process change, there are also significant savings to be made on the estate and operational side.
          We have derived an EC Harris NHS mean (that excludes both the very low and very high operators) and by doing so arrived at a mean cost by acute, primary and mental health sectors that most NHS organisations should be capable of operating within. This would facilitate many organisations saving more than £1m revenue per annum, with major upside potential for those looking to really target capital and estate usage.
          All health care providers worldwide need to ensure improved service quality, higher productivity and lower operating costs. Health operators are also faced with change arising from legislation and investment choices, which require more sophisticated appraisal techniques. The public and health commissioners want first class health facilities; optimum care; but also better environmental hospital standards. Via our 10-point plan we will look at the practical methods that demonstrate how one can progress:
          • higher productivity. Savings that run to hundreds of millions from running better contracts and facilities management services with a real commercial return on investment
          • lower operating costs. Longer operating of key assets particularly staff and equipment
          • improved service quality. This requires more informed KPIs, matching outcomes to increased spend, using data to on benchmark clinical specialities
          • integrating propositions. Procurements are not separate - more joint work with other local providers and partners.

          To deliver the £20bn NHS efficiency target every area needs to contribute to system change. Examples will be used from both the NHS and also other world health systems and commercial organisations.
          This session will explore the following:
          • Driving productivity and efficiency – how hospital and primary care operators achieve greater outcomes with the resources at their disposal; responding to changes in capital and service.
          • The ten performance parameters of delivering value:
          Demand, capacity reviews
          Strategic options
          IT and equipment strategies
          Space utilisation studies
          Options for multi-use of space
          Organisational and statutory governance (including workforce planning)
          ?ervice and estates reviews
          Facility management supply chain
          Change of land use
          Sustainability
          • Ensuring flexibility for changing clinical demands as a by-product of system enhancement. We will highlight ideas that demonstrate best practice by combining process redesign and world-class performance standards to achieve long-term health solutions and continuous improvement.

        • LEARNING LAB WORKSHOP 2F - TRANSFORMING PROCUREMENT IN THE NHS THROUGH CLINICALLY SPONSORED CHANGE

          Speaker: Peter Akid , Managing Director, Commercial Procurement Solutions, NHS Shared Business Services and a leading clinician and Finance Director (TBC)

          There is market evidence that clearly shows there are challenges with the way clinical products are currently procured and the way in which the resulting contracts are implemented across the NHS . This is demonstrated by the lack of contract compliance and the scale of maverick spend that exists across the sector as a whole. This session will aim to present a new clinically-led and executive-sponsored approach to procurement. We will demonstrate how trusts have used this innovative process and worked collaboratively to enter into committed volume contracts, which have delivered a step change in procurement savings and an improvement in patient care while significantly reducing supplier and product variation.
          Delegates will leave the session understanding the benefits of strategic collaboration and how, when combined with rationalisation, they can maximise their commercial leverage in the marketplace. Furthermore, those attending will hear how the trusts participating in this approach to date are making it work, the challenges they have overcome and what clinical outcomes and savings have been identified.
          The trusts spearheading this programme have identified clinical leads to drive this approach in areas including audiology, sutures, ophthalmology, orthopaedics and endosurgery. We envisage a lead clinician from one of these areas will present alongside us.

        • LEARNING LAB WORKSHOP 2G - USING PATIENT LEVEL COSTING TO DRIVE IMPROVEMENT

          Speaker: Lorraine Bewes, Finance Director, Chelsea and Westminster NHS FT

          The ability to drill down to patient level cost and income information has enabled Chelsea and Westminster NHS FT to make informed service line decisions and, importantly, obtain the acceptance of clinicians and other key stakeholders in the process. In this session, Lorraine Bewes will discuss the key issues and will share her organisation’s experiences; focusing on the practical challenges, lessons learned and clear benefits of using PLICS to drive improvement at Chelsea and Westminster NHS FT.

        • LEARNING LAB WORKSHOP 2H - MOTIVATING YOURSELF AND YOUR TEAM THROUGH CHANGE

          Speaker: Chris Hughes, The Hughes Company

          In this session international speaker and world class trainer, Chris Hughes will cover everything you need to know in order to keep yourself and your team motivated while dealing with change in a positive manner. You will learn:
          • Simple yet effective tools and techniques to motivate yourself and others so that everyone gets more done and enjoys work more
          • How to remain ‘up’ when others are not,so that you can maximise your role and strategies to maintain enthusiasm and re-energise yourself/others if necessary
          • The top three practical tips for dealing with change effectively. And how to face any challenge with a solution-focussed attitude, without feeling overwhelmed, so that you stay motivated and become more personally effective.
          Chris is an expert at helping people deal with difficult situations and significant organisational change. Make the most of this opportunity, get even more from yourself and your team and prepare for tangible results – this entertaining, inspiring session offers practical, useful strategies that genuinely make a difference.

        • NOT ATTENDING LEARNING LAB WORKSHOP 2

          Please select this box if you are not attending a workshop at this time

      • 5:15 PM
        • Exhibition & Free Time
      • 7:30 PM
        • President's Welcome Dinner
    • 01/12/2011
      • 7:30 AM
        • Coffee and Registration
      • 8:00 AM
        • BREAKFAST SESSION 1 - DELIVERING QIPP - A PRACTICAL OVERVIEW

          Speakers: David Dingwall, Executive Consultant - Operations Optimisation and Tim O'Hanlon, Associate Partner - Health Consulting, Atos

          QIPP has become synonymous with £20 bio cost savings, flagged by Sir David Nicholson as the basis for the future of the NHS ‘Service change is not an added option. It's not something we can put off until the next general election. We need to do it now. The alternative is reducing quality and increasing cost improvement programmes.’
          The demand from commissioners and providers is to consider the whole system and deliver improved performance, novel approaches and technology, efficient use of resources and long term management of demand.
          Atos will use case studies to demonstrate that it is possible to deliver a balanced improvement in performance for clinical services that delivers improved patient outcomes within the financial constraints of the NHS.
          The session will provide an insight into how real change and benefits can be delivered in NHS organisations and will focus on experiences from senior executives in the NHS. Participants will gain an understanding of how they can make it happen and will obtain useful contacts for future reference. They will leave the session with written up case studies as exemplars to take back to their organisations.

        • BREAKFAST SESSION 2 - MEET YOUR CARBON REDUCTION TARGETS WITHOUT CAPITAL EXPENDITURE

          Speakers: Scott Petersen, Europe Energy Solutions Marketing Director and Robert Mewis, Healthcare Sector Business Development, Honeywell Building Solutions

          Is funding your trust’s Carbon Management Plan using up your scarce capital budgets? In this session Honeywell will demonstrate how you can meet NHS carbon targets and reduce your maintenance backlog while releasing your capital spend to improve front line services.

        • BREAKFAST SESSION 3 - HOW TRUSTS CAN MAKE THE SAVINGS THEY NEED THROUGH BETTER PROCUREMENT

          Speakers: Steph Holmes, Head of Procurement, The Rotherham NHS FT and Richard McIntosh, Managing Director, Inverto UK

          An average NHS Trust will spend somewhere between 40%-60% of its total costs on non-pay goods and services. As such, effective procurement is a fundamental capability necessary to maintain the financial health of a Trust and an area where Trust executives can achieve the financial savings they need without affecting front-line services.
          INVERTO will explain why effective procurement is so fundamental, the importance of procurement at Trust level and how to navigate through the confusing landscape of NHS national, regional and local procurement. At a time when NHS Trusts are being asked to deliver patient services which meet increasing performance targets but for less money, this seminar will focus on;
          • How to drive savings from all areas of non-pay expenditure – medical and non-medical
          • How to best use national and regional frameworks and NHS Supply Chain – and when not to!
          • How to work in partnership with clinicians to standardise products and rationalise suppliers
          • And how to achieve sustainable improvement – by developing procurement capability to continue to drive savings.
          The session will be based around a real-world case study. Steph Holmes, the Head of Procurement from Rotherham NHS Foundation Trust will present a case study of Project Three Million – Rotherham NHS Trust’s project to deliver £3m of bottom-line savings within 12 months and develop and equip their procurement function to continue to drive further savings into the future.
          The session and case study will provide practical insight and pragmatic real-world guidance as to how Trusts can accelerate their savings delivery and cut costs, not services.


        • NOT ATTENDING A BREAKFAST SESSION

          Please select this option if you are not attending a Breakfast Session

        • BREAKFAST SESSION 4 - MAKING SAVINGS AND DRIVING EFFICIENCIES THROUGH THE USE OF ESCRIPTION

          Simon Howard, UK Sales Director, Dictation Solutions, Nuance Healthcare Solutions
          Dr Keith J Stewart, Senior Manager, Accenture Health & Public Service

          Using an NHS based case study, Nuance Healthcare, and its partner Accenture, will present its SaaS based eScription solution, delivered on a Trust wide (or even multi-Trust) basis. This background speech recognition software converts clinicians’ digital dictations into formatted draft documents that medical secretaries can quickly review and edit. The session will include a detailed analysis of the financial benefits, including the opportunity for cash release savings as a consequence of significant productivity gain and an automated and managed end-to-end service. Additionally, the session will examine how eScription can leverage QIPP and make a positive contribution toward meeting NHS targets such as CQUIN.

          Participants will gain a unique insight into how transformation of the transcription process, based on the US model but adapted to suit the NHS requirement, will result in a more streamlined and cost efficient approach both now and for the future. The session will provide the opportunity to learn how this can enable a sustainable cost reduction programme that will positively impact on patient care. Delegates will be left with a clear understanding of the cost reduction potential for re-structuring transcription within an NHS Trust.

      • 9:15 AM
      • 9:25 AM
        • Representative from HM Government - tbc
      • 9:45 AM
        • Stephen Hay, Chief Operating Officer, Monitor
      • 10:15 AM
        • Cynthia Bower, CEO, Care Quality Commission
      • 10:45 AM
        • Coffee and Exhibition
      • 11:25 AM
        • Dr Charles Alessi, Senior Executive Member, National Association of Primary Care
      • 11:50 AM
        • Ian Bain, Consultant - Surgery, County Durham and Darlington Foundation Trust
      • 12:15 PM
        • David Behan, Director General of Social Care, Local Government and Care Partnerships
      • 12:40 PM
        • Richard Clarke, President and CEO, HFMA US and Greg Adams, Chair HFMA US
      • 1:00 PM
        • Lunch and Exhibition
      • 2:30 PM
        • Sir David Nicholson, NHS Chief Executive
      • 3:00 PM
        • David Flory, NHS Deputy Chief Executive
      • 3:40 PM
        • Coffee & Exhibition
      • 4:15 PM
        • The Right Hon Michael Portillo
      • 5:00 PM
        • Panel/Discussion Session

          Chaired by The Right Hon Michael Portillo

          Panel members:
          Mike Farrar, Chief Executive, NHS Confederation
          Dr Paul Zollinger-Read, Director of GP Commissioning, NHS East of England and Medical Adviser, The Kings Fund
          Suzanne Tracey, HFMA President and Director of Finance & Business Development, Royal Devon and Exeter NHS FT
          Angela Peddar, CEO, Royal Devon and Exeter NHS FT (tbc)

      • 5:30 PM
        • Exhibition and Free Time
      • 7:00 PM
        • Pre-Dinner Drinks Reception
      • 7:30 PM
        • Gala Dinner and Awards Ceremony followed by After-Dinner Party
    • 02/12/2011
      • 8:15 AM
        • Registration for new delegates
      • 8:45 AM
        • AGM
      • 9:20 AM
        • The RT Hon Andrew Lansley CBE MP, Secretary of State for Health
      • 10:30 AM
        • LEARNING LAB WORKSHOP 3A - GP COMMISSIONING - THE STORY SO FAR

          Speakers: Dr Muhammed Ali, Commercial Director, DMC Healthcare
          James Nicholls, Partner, Healthcare Advisory, BDO LLP

          The evolution of clinical commissioning groups (CCGs) has been closely followed by health professionals, politicians, the media and the public. Those involved in embedding CCGs into their local health economy will undoubtedly encounter unanticipated challenges. In this session, Dr Mo Ali, who was at the forefront of establishing CCGs in London, will reflect on the challenges so far and how they have been overcome by CCG pathfinders.
          The interactive session will focus particularly on how GPs have begun to manage the transition to become managers as well as clinicians by learning from those who have historically been responsible for management functions. This material will be delivered by James Nicholls, the lead partner in BDO’s healthcare advisory practice.
          This session will provide an excellent opportunity to hear from those leading implementation of the NHS reforms and discuss how those who have traditionally fulfilled the NHS management function can best support CCGs navigate the challenges ahead.

        • LEARNING LAB WORKSHOP 3B - INTEGRATING SPECIALISED COMMISSIONING

          Speakers: Kate Caston, Transitional Programme Lead for Specialised Services, NHS Commissioning Board Implementation Dept of Health and Phil Heywood, Director of Finance, Information and Performance, North West Specialised Commissioning Team

          The review of specialised commissioning by Sir David Carter in 2006 established what we now take to be the fundamental principles of specialised services – that for low volume, high cost services it is better to manage and develop them over larger geographical areas to ensure equality of access, service and clinical excellence, high quality outcomes and better value for money.

          In the last three years the drive for equity and excellence has helped ensure services across a whole range of rarer conditions - cancer, cardiac, mental health - have improved outcomes, established minimum high quality care and improved access.

          The future is about building on the same foundations but taking the opportunities provided by NHS modernisation to do things even better. If we are to succeed we must maintain our vision for equity and excellence in specialised commissioning.

          Recent announcements make it clear that specialised services and functions will be among the first to move under the auspices of the NHS Commissioning Board and work is underway to establish new arrangements from 2012/13.

          In order to prepare for the new arrangements, a number of workstreams have been established that aim to address variations between the SCGs/NSCT and support the ultimate objective of having a single national function. The workstreams cover areas such as finance and contracting; policy convergence; information and data flows; QIPP; quality; business planning; communications, engagement and HR; specialised mental health; decision making framework for contestability; and cancer drug fund.

          Crucial work is also underway to ensure that commissioners in both emergent commissioning consortia and the NHS Commissioning Board fully appreciate the impact of commissioning decisions on all parts of the care pathway in order that an integrated approach is adopted.

          This session will update delegates on progress to date, in the context of prevailing policy, and anticipated next steps in the delivery of specialised services commissioning.

        • LEARNING LAB WORKSHOP 3C - BOTTOM LINE MEASUREMENT OF SERVICE IMPROVEMENT - THE PRODUCTIVE WARD

          Speakers: Lynn Callard & Tim Reardon, NHS Institute for Innovation & Improvement

          In April of this year the institute published the results of the rapid improvement assessment (RIA) undertaken on The Productive Ward. This detailed the service improvements and financial savings that had been realised by the trusts sampled. Further similar work has been undertaken into the impact of The Productive Operating Theatre. Drawing on the knowledge and experience gained with the trusts the institute will talk through the learning and share the approach and methodology used in the studies. Attendees will benefit from an approach that links financial statements to service improvement measures to produce financial measures relevant to the decision making required in the current economic climate.

        • LEARNING LAB WORKSHOP 3D - DELIVERING COST IMPROVEMENT PROGRAMMES

          Speakers: Emma Knowles, Head of Health Financial Management and Efficiency, Audit Commission and Charlotte Goldman, Policy Advisor, Monitor

          NHS organisations are under increasing pressure to deliver high-quality services without the funding growth of the recent past. The Nicholson Challenge places added pressure by requiring NHS organisations to deliver efficiency savings of £20 billion by 2015. NHS organisations need simultaneously to improve efficiency and the quality of services they deliver. At the same time there is increasing demand for services and a significant reorganisation of the NHS taking place. NHS bodies need to successfully deliver efficiencies and develop innovative approaches to service improvement to ensure that high-quality services are preserved and developed as funding growth slows down.
          Experience has shown that planned efficiency savings can be difficult to achieve in full. As further savings are required each year, cost improvement programmes are becoming increasingly difficult to deliver without fundamentally transforming service delivery, both within organisations and across organisations. The successful delivery of cost improvement programmes (CIPs) has never been more important.
          The Audit Commission and Monitor are working together to produce a good practice guide on all aspects of CIP management; from how CIPs are identified to how progress on the achievement of CIPs is reported and monitored. The guide will be relevant to NHS trusts, NHS foundation trusts and primary care trusts. This workshop will give attendees an opportunity to hear the findings of the research, to hear from a practitioner about how they have successfully delivered a CIP and to compare arrangements within their own organisations.

        • LEARNING LAB WORKSHOP 3E - ADDRESSING THE CHALLENGES IN HEALTHCARE: LOOKING DEEPER TO DELIVER CHANGE

          Speaker: Bill Moyes, former Chairman of Monitor and Andrew Hawes, Director, Newton Europe Ltd

          NHS organisations can’t rely on growth, cutting services or ‘big ticket’ options (for example mergers and closures) for the coming challenges. Using case studies from several NHS trusts, this session will:
          • Explore the issues facing the NHS right now
          • Identify areas for improvement at the frontline that currently exist in most NHS trusts, but are often overlooked - changes that are worth millions of pounds per trust that also improve patient experience
          • Discuss the QIPP agenda and how trusts’ core operations are at the heart of delivering the change
          • Demonstrate the strategic importance of information visibility
          • Make the link between the ‘big picture view’ and detailed, valuable frontline changes
          This session will offer you :
          • A practical insight into where multi-million pound savings and patient experience improvements can be made
          • A greater understanding of the value that operational improvement brings to the bottom line
          • Knowledge and tips on different techniques that can deliver significant improvement across theatres, outpatients, length of stay and coding etc.

        • LEARNING LAB WORKSHOP 3F - PAYMENT BY RESULTS & CASEMIX: 2012-13 AND BEYOND

          Speakers: A senior representative from the Department of Health PbR Team and Paula Monteith, Principal Information Design Consultant, The NHS Information Centre

          This session will provide an update on payment by results arrangements for 2012/13, highlighting key policy directives and future casemix developments. It will highlight key issues for commissioners, service providers and finance professionals, and provide the opportunity to understand best practice in a changing environment.

        • LEARNING LAB 3G - MENTAL HEALTH PbR/COSTING

          Letsie Tilley, former Finance Director, Southern Health NHS FT and Suzanne Ibbotson, Policy, Development and Costing Manager, Department of Health

          Update on mental health cluster costing, with presentation from Sheelagh Carr regarding GMW experiences of cluster and PLICS costing, followed by discussion.

        • NOT ATTENDING LEARNING LAB WORKSHOP 3B

          Please select this box if you are not attending a workshop at this time.

      • 11:30 AM
        • Coffee and Exhibition
      • 12:00 PM
        • Steve Backley OBE and Roger Black MBE

          Faster, Stronger, Higher – Achieving Personal and Professional Excellence

          Drawing upon their experience as two of Great Britain's finest Olympic athletes and business coaches, Steve Backley OBE and Roger Black MBE will provide an insight into what drives sporting success, translating it into real life, day-to-day activities that can be acquired by anyone with the will to commit.
          Steve and Roger will focus on the following:
          Olympic Performance
          Creating New Beliefs
          Performance-led Activity
          Owned Outcome
          Their presentation captures the essence of competing at the Olympic Games, providing the opportunity to reflect on how Olympic athletes behave and the values that surround this effective behaviour. Their mission is to 'transfer Olympic Performance into the Workplace'.

      • 1:30 PM
        • Closing Remarks

          Sue Jacques, President HFMA and Director of Finance, County Durham and Darlington NHSFT

      • 1:35 PM
        • Lunch and Prize Draw
      • 2:30 PM
        • Conference Close
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