1. Copyright 2011 Right Care The Right Care Programme – Robust Decision Making Business Case Impact Assessments Commissioning for Value

2. Copyright 2011 Right Care Robust Decision Making Business Case Impact Assessments Professor Matthew Cripps BA MA CPFA Programme Director NHS Right Care August 2013 Online Learning Series Right Care for Populations

3. 3 Benefit of Full & Robust Impact Assessments Full understanding of affect of improvement –Ability to plan for mitigation Optimal assurance for decision-makers Full understanding of what to expect when assessing actual impact post-implementation –Quality –Outcome –Improvement Full understanding of what to ‘system manage’ –Contract management –Financial management

4. 4 Generic Impact Assessment Models 1.Assumption-based impact assessment. 2.Referrals/ pathway audit impact assessments.

5. 5 Assumption-based Impact Assessment Case Management Example – Central Manchester “The average number of admissions for the type of patient affected by this project is 2.16 per year, at a length of stay of 16.7 per admission. The caseload for the new proposed advanced practitioners will be 700. With a projected 6% avoidance of admissions this leads to the forecast of 4 beds saved (2.16 admissions * 16.7 bed days * 700 caseloads * 6% / 365 days = 4.2 beds).”

6. 6 Referrals Audit Impact Assessment

7. 7 Pathways Audit Assessment – Financial Impact