SHA Handover Reports - NHS Yorkshire and the Humber

5. Areas for further progress
Whilst there is a strong record of delivery, there are areas where continued effort is
required.
5.1 Over reliance on hospital care and the quality, innovation, productivity and
prevention (QIPP) challenge
The north east has high quality NHS services and poor, but improving, population
health. There is high patient, public and staff satisfaction with existing NHS
services, however relative to the rest of the country, the region has an over
reliance on hospital care.
The north east faces an unprecedented £859 million QIPP challenge over the next
four years. Locally the NHS is relatively well positioned to face these challenges,
with a full hospital foundation trust economy, newly integrated acute and
community services, active clinical commissioning group engagement, and overall
good partnership working. In the context of having a relatively stable local NHS
and managing a significant transition in the way the NHS works, there is a major
challenge to ensure that commissioning and provider clinicians and managers,
work together with sufficient scale and pace of transformation to deliver the
required improvements in quality and productivity. £160 million has been secured
by commissioners in contracting for 2011/12, and forecasts indicate they are on
target to deliver the remaining £104 million by the end of the financial year.
5.2 Clostridium difficile (C. difficile)
It is anticipated that acute hospital trusts and primary care organisations should
achieve a further reduction in Clostridium difficile by 2012/13 based on the median
and best quartile rate of the 12 month period October to September of the
preceding year (Patients aged 2yrs+).
For July 2011 the region recorded a total of:
• Commissioner: 83 C. difficile infections against a trajectory of 81 infections.
o Seven out of the 12 primary care trusts are behind their year to date
trajectory for 2011/12, including Northumberland Care Trust, Sunderland
Teaching Primary Care Trust, Darlington Primary Care Trust and all
primary care trusts in the Tees cluster.
• Provider basis: 44 C. difficile infections against a trajectory of 43 infections.
o Northumbria Healthcare NHS Foundation Trust, City Hospitals
Sunderland NHS Foundation Trust and North Tees and Hartlepool NHS
Foundation Trust are above their year to date trajectory for 2011/12.
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