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QIPP: Quality, Innovation, Productivity and Prevention in Cancer Care

QIPP: Quality, Innovation, Productivity and Prevention in Cancer Care BRITISH LIBRARY Conference report DOCUMENT SUPPLY CENTRE .................... ~ . .. - 6 APR 2011 CONFERENCE INDEXED • How many trips to the general practitioner (GP) before Meeting the quality and productivity diagnosis? challenge in cancer care: from early • Why do 40% of blood samples have defects? diagnosis to service provision following • Why does a woman needing breast surgery for cancer cancer treatment stay in hospital for six days when 23 hours is available? Monday 11 October 2010 • Why does it take over 12 weeks from smear to result in Cavendish Conference Centre, London hand for a test that takes five hours to process? .•........•.•....•....••••••......•••....•••••................ She spoke of the Transforming Inpatient Care Programme and its ambitious aim to save a million bed days to Introduction improve quality and reduce cost. It is based on the rationale This one-day conference was chaired by Paula Lloyd, that patients do not wish to be in hospital more often or Associate Director Patient Experience, National Cancer longer than necessary, that bed utilization in England for Action Team. QIPP, which is an acronym for Quality, cancer patients is higher than elsewhere, that inpatient Innovation, Productivity and Prevention, was introduced care accounts for around half of all cancer expenditure, to the National Health Service (NHS) in 2009 and provided that inpatient bed utilization varies widely between a framework to achieve efficiencies from the avoidable use primary care trusts (PCTs) and that there is a need to of NHS resources. QIPP aims to support the NHS to make improve productivity to enable the introduction of new life­ efficiency savings, which can be channelled back into ser­ saving technologies. vices to continually improve the quality of care. This confer­ As an example, Dr Williamson described the wide vari­ ence comprised a range of presentations from early ation in activity by provider and mean length of stay diagnosis and emergency care, to service provision follow­ (LOS) - between one and seven days - for total excision ing treatment and end of life care. It provided an opportu­ Casej23 Hour Breast of breast. The NHS Improvement Day nity for delegates to share ideas and learn from each other Pathway, which tackles this variation and promotes care about transforming cancer care in line with the QIPP closer to home, has been approved as best practice. To agenda. date, 13 national clinical spread networks have signed up to roll out the pathway. Pan Birmingham Cancer Network Sue Moos has already implemented the pathway and has calculated potential savings of just over £lm. The potential savings Service Improvement Manager, 3 Counties CancerNetwork, SangerHouse, 5220 Valiant Court, Gloucester Business Park, Brockworth, Gloucester GL3 4FE, UK from scaling this up across the country are clearly vast. Email: sue.moos@glos.nhs.uk In another example of QIPP, Dr Williamson described how the savings from very limited investment in service redesign in cytology screening, improved quality to 100% delivery of the 14-day standard with £100k savings per site across 10 pilot sites. The national impact was estimated to QIPP: quality, innovation, productivity and be £18m per year. Service redesign had a positive impact prevention in Cancer Care on the patient experience and attention was drawn to Dr Janet Williamson set the context of the conference with using this aspect as one of the main drivers to achieve a presentation on QIPP in Cancer Care, stating that the change. notion of QIPP being short term was flawed, given the Dr Williamson concluded by outlining the big QIPP scale of efficiency savings to the tune of £15-20bn that opportunities ahead as early diagnosis and prevention, have to be achieved across the NHS. She also reminded del­ new models of care (both for long-term conditions and egates that cancer services have remained high on the pol­ self and supportive care) and transforming 'inpatients' and itical agenda - from the election campaign to the diagnostics to facilitate same dayjnext day results. Coalition Government's agreement and the recent White Paper 'Equity and Excellence: Liberating the NHS' (2010). Dr Janet Williamson The emphasis is now on patient choice and outcomes as well as shifting the focus from secondary to primary care. National Programme Director To inform this shift in focus and against a background of NHS Improvement increasing demand, the Cancer Reform Strategy, published in 2007, is undergoing a 'refresh' and is due to be published Measuring, monitoring and improving Cancer by the end of 2010. outcomes Dr Williamson raised some searching questions, high­ lighting where a difference can be made and the need for Dr Mick Peake covered a range of areas including sources of change: data and the interpretation of data to drive change and International Journal of Care Pathways 2011; 15: 24-28 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Care Pathways SAGE

QIPP: Quality, Innovation, Productivity and Prevention in Cancer Care

International Journal of Care Pathways , Volume 15 (1): 1 – Mar 1, 2011

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Publisher
SAGE
Copyright
© 2011 SAGE Publications
ISSN
2040-4034
eISSN
1758-1079
DOI
10.1177/205343541101500108
Publisher site
See Article on Publisher Site

Abstract

BRITISH LIBRARY Conference report DOCUMENT SUPPLY CENTRE .................... ~ . .. - 6 APR 2011 CONFERENCE INDEXED • How many trips to the general practitioner (GP) before Meeting the quality and productivity diagnosis? challenge in cancer care: from early • Why do 40% of blood samples have defects? diagnosis to service provision following • Why does a woman needing breast surgery for cancer cancer treatment stay in hospital for six days when 23 hours is available? Monday 11 October 2010 • Why does it take over 12 weeks from smear to result in Cavendish Conference Centre, London hand for a test that takes five hours to process? .•........•.•....•....••••••......•••....•••••................ She spoke of the Transforming Inpatient Care Programme and its ambitious aim to save a million bed days to Introduction improve quality and reduce cost. It is based on the rationale This one-day conference was chaired by Paula Lloyd, that patients do not wish to be in hospital more often or Associate Director Patient Experience, National Cancer longer than necessary, that bed utilization in England for Action Team. QIPP, which is an acronym for Quality, cancer patients is higher than elsewhere, that inpatient Innovation, Productivity and Prevention, was introduced care accounts for around half of all cancer expenditure, to the National Health Service (NHS) in 2009 and provided that inpatient bed utilization varies widely between a framework to achieve efficiencies from the avoidable use primary care trusts (PCTs) and that there is a need to of NHS resources. QIPP aims to support the NHS to make improve productivity to enable the introduction of new life­ efficiency savings, which can be channelled back into ser­ saving technologies. vices to continually improve the quality of care. This confer­ As an example, Dr Williamson described the wide vari­ ence comprised a range of presentations from early ation in activity by provider and mean length of stay diagnosis and emergency care, to service provision follow­ (LOS) - between one and seven days - for total excision ing treatment and end of life care. It provided an opportu­ Casej23 Hour Breast of breast. The NHS Improvement Day nity for delegates to share ideas and learn from each other Pathway, which tackles this variation and promotes care about transforming cancer care in line with the QIPP closer to home, has been approved as best practice. To agenda. date, 13 national clinical spread networks have signed up to roll out the pathway. Pan Birmingham Cancer Network Sue Moos has already implemented the pathway and has calculated potential savings of just over £lm. The potential savings Service Improvement Manager, 3 Counties CancerNetwork, SangerHouse, 5220 Valiant Court, Gloucester Business Park, Brockworth, Gloucester GL3 4FE, UK from scaling this up across the country are clearly vast. Email: sue.moos@glos.nhs.uk In another example of QIPP, Dr Williamson described how the savings from very limited investment in service redesign in cytology screening, improved quality to 100% delivery of the 14-day standard with £100k savings per site across 10 pilot sites. The national impact was estimated to QIPP: quality, innovation, productivity and be £18m per year. Service redesign had a positive impact prevention in Cancer Care on the patient experience and attention was drawn to Dr Janet Williamson set the context of the conference with using this aspect as one of the main drivers to achieve a presentation on QIPP in Cancer Care, stating that the change. notion of QIPP being short term was flawed, given the Dr Williamson concluded by outlining the big QIPP scale of efficiency savings to the tune of £15-20bn that opportunities ahead as early diagnosis and prevention, have to be achieved across the NHS. She also reminded del­ new models of care (both for long-term conditions and egates that cancer services have remained high on the pol­ self and supportive care) and transforming 'inpatients' and itical agenda - from the election campaign to the diagnostics to facilitate same dayjnext day results. Coalition Government's agreement and the recent White Paper 'Equity and Excellence: Liberating the NHS' (2010). Dr Janet Williamson The emphasis is now on patient choice and outcomes as well as shifting the focus from secondary to primary care. National Programme Director To inform this shift in focus and against a background of NHS Improvement increasing demand, the Cancer Reform Strategy, published in 2007, is undergoing a 'refresh' and is due to be published Measuring, monitoring and improving Cancer by the end of 2010. outcomes Dr Williamson raised some searching questions, high­ lighting where a difference can be made and the need for Dr Mick Peake covered a range of areas including sources of change: data and the interpretation of data to drive change and International Journal of Care Pathways 2011; 15: 24-28

Journal

International Journal of Care PathwaysSAGE

Published: Mar 1, 2011

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