A picture of health for South-East London

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Client NHS Trusts and PCTs in SE London
Dates 2009
Sector(s)UK Health
Service(s)Strategy & Finance

CEPA provided comprehensive financial and capacity modelling support to a number of NHS Trusts and PCTs in South East London, as part of a major health service redesign project to improve local NHS services and restore financial balance in the local health economy.

The project was carried out over a number of phases:

  • Initially, we reviewed existing material and detailed financial models previously prepared for the project and suggested ways in which these could be improved.
  • Following this initial review, we developed a number of detailed activity and income models to support the modelling of various service reconfiguration scenarios and their impacts on the financial position of individual hospital trusts and the local health economy as a whole. This in-depth analytical work was undertaken in close cooperation with a wide range of sector stakeholders. It also supported the preparation of a pre-consultation business case for approval by NHS London (the Strategic Health Authority for London), prior to a wide ranging public consultation exercise on proposals for improving the provision of health services in the four London boroughs, which took place from January to April 2008.
  • Following this consultation period, we worked on refining the financial and capacity analysis to a much greater level of detail. The conclusions of this analysis and further modelling work supported the final decision on the preferred service reconfiguration option for the health economy which was taken in July 2008.
  • Our team, was retained by the Programme Executive to act as the project’s analytical consultant during the planning for implementation of the preferred option for service redesign. We undertook detailed capacity modelling on behalf of health commissioner/ provider pairings in two of the London boroughs affected by service reconfiguration, assessing the financial and capacity impact of delivering best-practice in service provision (length of stay improvements, day case rates, etc.)
  • Following the project’s referral to the Secretary of State, we supported stakeholder organisations during an Independent Reconfiguration Panel review of the JCPCT decision. Once the service reconfiguration had been approved, we assisted clinical working groups in the development of care pathways for different services.