1. This is the totality of spend included within IRF.
Note the year is 2008/9 – and some items are excluded from Health. GDS/GOS payments are the most significant values.
CEC Social Care spend is over 65s only.

2. This is the previous slide, but to demonstrate the ability to quantify spend by age groups. This is over 75s.
There is no community or FHS patient level data within the model just now.
There is a strong patient level record set in FHS, the issue is of access and data protection with 120 different parties.
Community Health does not have a robust patient level data set as yet.

3. This is an example of pathway mapping. This is a single patient.
The left window is a timeline of interactions with services.
Right window is a quantification of spend on the patient.
Largest bar (purple) is Mental Health Day Patients.
Middle (green) bar is Social Work Care at home.
Right hand bar is Community Alarm spend.
Chosen as an example of successfully keeping a patient in their own home.

4. Another pathway map of a significantly more complex patient.
Although they have the same number of service interactions, they have cost almost 5 times as much.
Largest bar (red) is acute inpatient spend.
Next largest (turquoise) is Social Care at home.
3rd largest (magenta) is Mental Health Day Patient spend.

5. This is a list of Programme costs, using the Department of Health Programme Budgeting Categories (PBC).
The scope of this is limited to Acute Inpatient and Daycase at present, although we hope to link to the other patient level records shortly.

6. A single Programme has been selected, showing the spend across the ISD specialties.
Interesting that General Surgery is the single most expensive specialty, although this is partly due to the services at the WGH Cancer centre being split across 4 specialties.