Healthier Together

Healthier Together In Numbers

A huge amount of analysis underpins the Healthier Together proposals. The analysis helps us to answer some key questions.

How Will My Hospital Work?


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Our plans for improving hospital care, includes creating four shared ‘single services’. 

 

What specialisms do our hospitals offer?

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All hospitals in Greater Manchester specialise in providing certain types of care and four hospitals will provide specialist abdominal (tummy) surgery.


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How much has the number of people attending A&E increased by?

The number of patients attending our Emergency Departments is increasing – in 2012/2013 there were around 90,000 more attendances than there were in 2010/2011. This is shown in the graph below. That is equivalent to an additional 255 attendances per day – as many as an additional large Emergency Department in the conurbation.

 

How many more people do we think will go to hospital in the next 5 years?
How many more people do we think will receive their care out of hospital in the next 5 years?

An extra 70,000+ people are expected to attend a hospital in Greater Manchester in 2017/2018 compared to 2012/2013 (a 9% increase). This is an extra ~200 people going to hospital every day.

However, we expect that 50,000+ more people will be treated in the community and not in hospital by 2017/2018 (a 6% reduction).

 

How many people need ‘specialist’ care?
How many people may be treated in a specialist hospital?
How many people will be treated in a local General hospital?

~10% of patients attending A&E need ‘specialist care’ (~100k of 1m patients per year).

This means each local General A&E will still treat ~90% of the patients that they do currently.

This means that ~95% of A&E patients will continue to attend the same A&E that they do now.

~ 20% of general surgical patients need 'specialist' care (~17,000 of 85,000 patients per year).

This means a local General hospital will still treat ~80% of the general surgery patients that they do currently.

This means that ~ 90% of general surgery patients will be treated where they are now.

 

How many more doctors and other staff will we need?

Healthier Together proposes an investment to increase the number of A&E consultants by 20% (an additional 17 consultants) and to increase the number of general surgical consultants by 18% (an additional 19 consultants).

 

Do we need any additional facilities – for example operating theatres and intensive care beds?
How much will any additional facilities cost?

A specialist firm of property surveyors looked at the facilities that each Trust currently had – including numbers of operating theatres and intensive care beds - and assessed how these numbers might need to change under any of the shortlisted options. 

They estimated that between £25M and £50M would need to be spent on refurbishing existing facilities or building new ones.

 

How much will it cost to implement Healthier Together?
How much will Healthier Together save?

We estimate that it would cost an extra £24m to employ additional consultants to meet the clinical standards at every Greater Manchester hospital site. However, this would mean there would be an extra 18% - 20% more consultants compared to the current position. 

In addition, transition costs such as additional staff training, travel, IT costs, additional ambulances, and implementation costs are estimated to be £12m

 

How much will Healthier Together save?

We estimate that, by implementing Healthier Together, the total saving for hospital trusts across Greater Manchester would be between £29m and £33m.

 

How many lives could we save if we implement Healthier Together?

Analysis suggests that the lives of 1500 patients undergoing general surgery (surgery on stomach and bowel) could be saved over 5 years if the hospitals in Greater Manchester perform as well as the best hospital in the country.

 

How many areas in Greater Manchester can access specialist care by ambulance within the target time of 45 minutes?
How many areas in Greater Manchester can access specialist hospitals to visit friends and family within 75 minutes?

Under every option, 100% of postcodes within Greater Manchester can access a specialist hospital within 45 minutes.

Currently, 99.9% of locations within Greater Manchester can access specialist services within 75 minutes. Under the options this changes to between 99.3% and 99.8%.


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