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An additional £27m investment in patient services has been announced by the Leicester City Primary Care Trust (PCT) this week. This is on top of a number of significant capital investments in healthcare services across the City.
The ability to invest such a significant sum in healthcare services is thanks to a successful £43.8m financial turn around in the PCT’s finances achieved over the last eighteen months. Previously the PCT faced a debt of £25.6m.
Detailed within the Trust’s Operational Plan which was approved at the Trust’s Board meeting on 27th March 2008, some of the highlights include:
• £1m to improve stroke services
• £1m to promote healthy lifestyles through a targeted programmes for school aged children and health trainers to work with the community, e.g. initiatives to tackle obesity and teenage pregnancy
• £650,000 to improve the assessment and treatment of people with learning difficulties and for the development of related support services
• £550,000 to improve and expand diabetes treatment, prevention and education programmes
• Funding to employ eight more school nurses across Leicester City
• £600,000 on Smoking Cessation programmes
• A new £1.6m (capital) Urgent Care Centre opening at Leicester Royal Infirmary in May 2008
• £1.86m (capital) for existing GP practices to reinvest in providing new and improved services for their local communities
• £2m (capital) for improvements to existing GP practice premises across the City
Tim Rideout, Chief Executive, said: “Last year we didn’t have access to the funds we knew we needed to invest in services. Now, thanks to the outstanding success of the Turnaround Plan, local people will soon see the benefits of additional investments in health-related services across the City.
“This excellent result has been achieved through the dedication and hard work of all of our staff and I would like to thank them all.
“I hope that people living in Leicester will join us in celebrating the achievement. This is an exciting year in which significant improvements will be made in both preventative and treatment services throughout the City.”
The PCT is also working to improve emergency out-of-hours access and will continue to invest in community and primary services to enable people to receive care as close to home as possible whenever appropriate.
The PCT will increase its focus on health promotion and the prevention of ill health activities. Local people will see an increased level of support services available in the community such as smoking cessation services, greater access to screening services and self-help programmes.
Investment in prevention will deliver future cost savings. For instance, it is estimated that it costs £1,400 each year to provide treatment and support for someone with diabetes and related complications. Type 2 Diabetes relates to poor diet and lifestyle factors and be can prevented through changing certain lifestyle factors include diet by changing them.
Details of the initiatives planned for 2008/9 are presented within the Trust’s Annual Operational Plan. The document is available on the PCT’s website at: www.leicestercitypct.nhs.uk or by calling 0116 295 1535.
Background Information1 About the PCT
Leicester City PCT is responsible for improving the health and well being of the people of Leicester through the commissioning of healthcare services required by local people.
2 Financial Turnaround
Established in October 2006, Leicester City Primary Care Trust inherited a forecasted year-end position in 2006/7 of £25.6m deficit, which amounted to 6.5% of the annual budget; £14.5m of this was recurrent.
This challenging financial position restricted the activities that could be undertaken to meet the health needs of Leicester City people, both in terms of introducing new services and enhancing existing services. It also placed at risk the patient services that were already commissioned and provided by Leicester City PCT.
Addressing such a sizeable financial challenge required not only expertise but also dedicated resources with the specific remit of turning around the financial situation. The effective and timely delivery of a Turnaround solution would have been virtually impossible for someone who also had the responsibility of discharging operational duties. It was therefore essential to acquire external, dedicated expertise.
3 About the Turnaround Plan success:
During 2008/09 the PCT will have at least £27m extra to invest in patient care. This money will be targeted for use in those priority areas that will maximise the rate of return to improve health outcomes for Leicester’s population. Productivity and efficiency work across the PCT and throughout local providers will add to this resource (£18m), at the same time as helping the PCT improve its position against national financial performance indicators.
The Turnaround Plan has improved the PCT’s financial position by a total of £43.8m. This means that for every £1 invested in external Turnaround expertise we have realised a return of £67.88 (or 6788%). The Trust considers this to be an excellent return on investment.
4 About the Annual Operating Plan
The Local Operational Plan provides a clear picture for staff, partners and the public of Leicester City PCT’s work priorities in 2008/9 and resources available to support the work.
It paints a challenging but exciting picture. Leicester has significant health needs and this plan demonstrates how the PCT will make significant improvements to health services in the coming year working with a range of partners. Some of this will be with investment – the PCT is committed to investing an additional £27.3m into improving patient services this year – and some will be by doing things differently. The plan builds on the history of successful joint working with the City Council and other partners. All actions will be taken to ensure healthcare in Leicester is:
• Fair – equally available and accessible to all, taking account of personal circumstances and the diverse needs of our local population.
• Personalised – tailored to meet the needs and wants of each individual, especially the most vulnerable and those in greatest need, providing access to services at the time and place of their choice.
• Effective – focused on delivering outcomes for patients that are among the best in the world.
• Safe – as safe as it possibly can be, giving patients and the public the confidence they need in the care they receive.
• Locally accountable.
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