1. Consistency in clinical pathways and contractual arrangements across the CCG footprint Dr Joe Mays 14 October 2015

5. 2012/13 equiv costs for Exeter patients (RDE only)
Full Year
As at Month 3
FOT
As at full year 2014/15
NORTH DEVON 2015/16 tariff
2013/14
2014/15
2015/16
2012/13 equiv costs for Exeter patients (RDE only)
diff
volumes
tariff
Pathway 1
£2,798
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and Discharged Home 31
£86,738 21
£58,758 6
£16,788 24
£67,152 8
£22,384 £0
£3,410
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and Discharged Home 67
£228,470 52
£177,320 14
£47,740 56
£190,960
Pathway 2
£5,937
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and transferred back to NDDH 4
£23,748 1 2
£11,874
£6,549
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and transferred back to NDDH 5
£32,745
£11,618
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and transferred to PHT
£23,235
£12,230
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and transferred back to PHT
Pathway 3
£3,740
Short Stay Admission NDDH, trf to RDE for Angio and Discharged Home
£18,700
£942
£4,352
Short Stay Admission NDDH, trf to RDE for PCI and Discharged Home
£34,816 7
£30,464
£17,408
£23,870
£6,594
Pathway 4
£6,879
Short Stay Admission NDDH, trf to RDE for Angio, trf back to NDDH
£7,491
Short Stay Admission NDDH, trf to RDE for PCI, trf back to NDDH
Pathway 5
>2 midnight Admission NDDH, trf to RDE for Angio and Discharged Home 69
£409,653 70
£415,590
£83,118
£332,472 19
£112,803
£813,225
-£397,635
>2 midnight Admission NDDH, trf to RDE for PCI and Discharged Home 64
£419,136 61
£399,489
£91,686
£366,744 18
£117,882
£746,000
-£346,511
Pathway 6
£9,076
>2 midnight Admission NDDH, trf to RDE for Angio, trf back to NDDH 33
£299,508
£217,824
£36,304 16
£145,216
£72,608
£89,760
£128,064
£9,688
>2 midnight Admission NDDH, trf to RDE for PCI, trf back to NDDH
£58,128
£5,336
Totals
296
£1,653,986
248
£1,388,475 53
£281,573
212
£1,126,292 76
£420,479
£1,922,632
-£534,157

6. As at full year 2014/15
NORTH DEVON 2015/16 tariff
2012/13 equiv costs for Exeter patients (RDE only)
diff
Pathway 1
2798
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and Discharged Home
58758
3410
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and Discharged Home
177320
Pathway 2
5937
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and transferred back to NDDH
23748
6549
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and transferred back to NDDH
32745
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and transferred to PHT
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and transferred back to PHT
Pathway 3
3740
Short Stay Admission NDDH, trf to RDE for Angio and Discharged Home
942
4352
Short Stay Admission NDDH, trf to RDE for PCI and Discharged Home
23870
6594
Pathway 4
6879
Short Stay Admission NDDH, trf to RDE for Angio, trf back to NDDH
7491
Short Stay Admission NDDH, trf to RDE for PCI, trf back to NDDH
Pathway 5
>2 midnight Admission NDDH, trf to RDE for Angio and Discharged Home
813225
>2 midnight Admission NDDH, trf to RDE for PCI and Discharged Home
Pathway 6
9076
>2 midnight Admission NDDH, trf to RDE for Angio, trf back to NDDH
89760
128064
9688
>2 midnight Admission NDDH, trf to RDE for PCI, trf back to NDDH
5336

7. As at full year 2014/15
NORTH DEVON 2015/16 tariff
2012/13 equiv costs for Exeter patients (RDE only)
diff
Pathway 1
2798
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and Discharged Home
58758
3410
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and Discharged Home
177320
Pathway 2
5937
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and transferred back to NDDH
23748
6549
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and transferred back to NDDH
32745
Blue light direct (or from NDDH A&E) to RDE / Musgrove (Angio only) and transferred to PHT
Blue light direct (or from NDDH A&E) to RDE / Musgrove (PCI only) and transferred back to PHT
Pathway 3
3740
Short Stay Admission NDDH, trf to RDE for Angio and Discharged Home
942
4352
Short Stay Admission NDDH, trf to RDE for PCI and Discharged Home
23870
6594
Pathway 4
6879
Short Stay Admission NDDH, trf to RDE for Angio, trf back to NDDH
7491
Short Stay Admission NDDH, trf to RDE for PCI, trf back to NDDH
Pathway 5
>2 midnight Admission NDDH, trf to RDE for Angio and Discharged Home
813225
>2 midnight Admission NDDH, trf to RDE for PCI and Discharged Home
Pathway 6
9076
>2 midnight Admission NDDH, trf to RDE for Angio, trf back to NDDH
89760
128064
9688
>2 midnight Admission NDDH, trf to RDE for PCI, trf back to NDDH
5336

11. HRG
NDHT
RDEFT
PHNT
Total
AVERAGE COST
Cost (£)
Count
EA36A - Catheter, 19 years and over
759
451
EA49Z - Percutaneous Coronary Interventions with 3 or more Stents, Rotablation, IVUS or Pressure Wire 68 26

12. Primary Care Actions Practice level data
Improve primary and secondary prevention
Improve referral quality
Clinical Referral Guidelines
Community Cardiology Service

13. Adopt, Improve, Defend
Groups including representatives from all three providers
Focus on analysing significant gaps first
Initially try to understand why the gaps exist

14. Adopt, Improve, Defend Agree action plans
Groups including representatives from all three providers
Focus on analysing significant gaps first
Initially try to understand why the gaps exist
Agree action plans
How should we write a CCG-wide specification which supports change