A whole-system financial model was developed and improved across elements of the urgent care pathway for Gloucestershire STP.
The Gloucestershire 'One Place' programme was developed in response to Gloucestershire STP’s performance in urgent care and some elements of elective care in the local health system. There was a need for the system to work differently to deliver against key constitution standards and provide more responsive and joined-up services for their population. The One Place programme proposed developments across all four elements of the urgent care pathway:
- Urgent access, advice and support – proposals for NHS111, and clinical assessment and advice services
- Urgent treatment - development of urgent care centres and extended primary Care
- Care in hospital – redesign of emergency departments, redeveloped acute assessment pathways and centres of excellence
- Onwards care and recovery - a proposal for rehabilitation services in Gloucestershire
Due to staffing changes, SCW was asked to take over and develop the part-completed financial model for the One Place programme. The model outputs had to be included within the One Place programme business case to be signed off by individual STP boards and the Gloucestershire STP board itself, in advance of approval by NHS England and NHS Improvement.
Working with the provider and commissioner subject matter experts and stakeholders, the whole-system financial model was developed and improved as the scope of the programme and scenarios within it changed, with the outputs presented to senior decision-makers as the programme progressed.
- We developed and produced a financial model for the One Place programme to meet the needs of stakeholders and the structure of the programme’s business case. The model was able to present financial outputs as a whole, as well as by programme element.
- We contributed to the financial areas of the programme business case, ensuring that the financial elements within it that resulted from the financial modelling were aligned to the principles of and the guidance within HM Treasury’s ‘Five Case Model’ (‘The Green Book’).
- As the programme scope and potential future scenarios changed, we ensured the financial model was robust and adaptable enough to deal with these changes.
- We were fully involved in participating in meetings with programme decision-makers and other stakeholders, giving professional advice and knowledge, and sharing experience from similar work in other health systems.
- We engaged with both commissioners and providers to explore various alternative payment mechanisms and funding flows to ensure that no individual organisations or the STP as a whole would be financially worse off due to the model of care and pathway models delivered by the One Place programme.
SCW built a flexible whole-system financial model that enabled Gloucestershire to test a number of key scenarios and complete the One Place business case on time. The support ranged from technical financial modelling expertise right through to stakeholder engagement and relationship building – the support provided by Stephen and SCW has been invaluable.” - Haydn Jones, Associate Director of Finance (Business Intelligence), NHS Gloucestershire CCG