CNO Summit 2015 - Creating value: developing a culture of value through Future Focused Finance, Paul Bauman

1. www.england.nhs.uk
Creating value: developing a culture
of value through Future Focused
Finance
Paul Baumann
CFO, NHS England
CNO Summit 2015 – 1st December 2015

2. NHS Finances

3. Five Year Forward View and Spending Review
NHS England real terms growth (£m)
Cumulative RDEL
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
2016-17 2017-18 2018-19 2019-20 2020-21

4. Operational
Efficiency
Activity/Commission
er Efficiency
Pay
Other (eg central
budgets, income &
admin)
Forward View efficiencies
Efficiency savings
identified in the FYFV
-2%
Operational efficiency
• Benchmarking
• Workforce productivity
• Approach to
procurement
• Estates optimisation
• Collaborative models
Operational efficiency
programme

5. Right Care and Low
Value Interventions
New Care Models
and Urgent &
Emergency Care
Self Care
Prevention
Operational
Efficiency
Activity/Commission
er Efficiency
Pay
Other (eg central
budgets, income &
admin)
Forward View efficiencies
Efficiency savings
identified in the FYFV
-2%
Activity related,
commissioner driven
activity

6. Value
RoI evaluation for
Investment Choices
Fast-Cycle, Value-
Based innovation
Value-Optimised
Business Models
Eliminating
Variation and
Waste

7. RightCare Analysis
Heart disease pathway

8. RightCare Analysis
OBJECTIVE - Maximise Value (individual and population)
Five Key Ingredients:
1. Clinical Leadership
2. Indicative Data
3. Clinical Engagement
4. Evidential Data
5. Effective processes
RightCare roll-out
209 health economies

9. Future Focused Finance
Everyone connected with NHS finance
has access to the relevant skills, methodologies and
opportunities to influence decision making and delivery in
support of high quality patient services.
The Vision
Best Possible
Value
Close
Partnering
Great Place to
Work
Skills and
Strengths
Foundations
for Sustained
Improvement
Efficient
Processes and
Systems

10. Conclusion