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SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

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Figure 9.68: Changes to population projections following 2011 census 1<br />

Population changes for NWL<br />

Change in population estimates<br />

(2011 Census value minus 2010<br />

SNPP estimates)<br />

Relative % difference (compared to<br />

2010 SNPP estimates)<br />

2011 2012 2013<br />

47,962 48,724 49,595<br />

2.5% 2.5% 2.5%<br />

▪ Population estimates across NWL are<br />

c.50,000 (2.5%) greater within the 2011<br />

Census than the 2010 SNPP projection<br />

▪ <strong>SaHF</strong> modelling is based on Trust 2012/13<br />

forecast outturn activity, therefore the actual<br />

population across NWL as per the 2011<br />

Census has been accounted for within this<br />

Rate of population increase to 2018<br />

Average annual change (2011-18) %<br />

2010 SNPP<br />

%<br />

2011 Census<br />

%<br />

Hammersmith and Fulham 0.4 0.3<br />

Kensington and Chelsea 0.0 0.3<br />

Westminster 0.8 1.7<br />

Brent 1.3 0.7<br />

Ealing 1.2 1.1<br />

Harrow 1.5 1.5<br />

Hillingdon 1.5 1.6<br />

Hounslow 1.6 1.5<br />

NWL 1.1 1.1<br />

▪ The rate of population increase across NWL<br />

is very similar for both 2010 SNPP and 2011<br />

Census population estimates, however<br />

there are differences at borough-level, as<br />

shown in the table.<br />

▪ The 2011 census overall rate of increase of<br />

1.1% pa differs across age groups, and<br />

taking the differential rates of increase, plus<br />

the relative cost of different age groups into<br />

account, would indicate a cost-weighted<br />

increase of approx. 2% pa<br />

▪ The financial and activity modelling has<br />

assumed total activity growth of 2.8% per<br />

annum across NWL (equivalent to 3.9% in<br />

financial terms)<br />

Commissioners have the strategic intention to rebalance their spending from acute to out of<br />

hospital while maintaining a minimum 1% surplus over the next 5 years. To do so,<br />

commissioners plan £365 million net savings and £190 million investment, resulting in £555<br />

million gross savings by 2017/18.<br />

The gross QIPP of £555 million and the planned investment of £190 million are distributed<br />

across the eight CCGs as shown in Figure 9.69.<br />

1 Source: Comparison of the 2010 sub-national population projections1 (SNPP) with 2011 Census-based<br />

projections.<br />

This is a mid-year estimate produced by ONS based on the 2001 Census and “known” components of change in<br />

the intervening years, i.e. births, deaths, internal migration and estimates of net international migration. From this<br />

“known” base year ONS then project.<br />

9d. Decision making analysis stage 6 and stage 7 386

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