Local evaluation of Morecambe Bay PACS Vanguard: final report September 2018

Grimwood, Tom, Bell, Lorna, Skyrme, Sarah and Maden-Weinberger, Uschi (2018) Local evaluation of Morecambe Bay PACS Vanguard: final report September 2018. Health and Social Care Evaluations (HASCE), University of Cumbria, Lancaster, UK.

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Abstract

Health and Social Care Evaluations (HASCE) at the University of Cumbria was commissioned by Bay Health and Care Partners, through NHS England Vanguard funding, to evaluate new models of care in Morecambe Bay. The local evaluation focused on understanding the context of the programme, the changes it has brought about, and which components of the care model really make a difference. The evaluation began in October 2016 and was completed in September 2018. This report summarises the findings of the second stage of evaluation, which focused on the Morecambe Bay Respiratory Network (MBRN). In addition to the data presented in the Stage 2 Early Findings Report, this report is informed by data from interviews with patients, further staff interviews and an economic analysis of resource use. The evaluation demonstrates that the MBRN has so far been a successful new model of care, with the potential to become a self-funding initiative which reduces secondary care activity, improves self-care amongst patients and enhances the learning and upskilling of staff. The model has developed ways of overcoming a number of problems and tensions identified with the implementation of NCMs, which were documented in HASCE’s 12 Month Report focusing on the BCT Vanguard programme: in particular, its model of leadership and its emphasis on communication. From the data that is available for this evaluation, the running cost of the MBRN has been calculated as amounting to approximately £1.9m pounds year, or £160k per month. Possible tariff reductions in secondary care from reduced NEL admissions and NEL beddays as well as reduced outpatient clinic capacity amount to over £2.6m per year, or £221k per month. This would arrive at a net savings to the health system of approximately £745k per year, or £60k per month. In summary, all indications point to the MBRN being a cost-effective step change in delivering respiratory services in the Morecambe Bay area. The report recommends that the model is continued to be supported by Bay Health and Care Partners. The economic evaluation has also shown that in order to deliver the savings to the health economy that are certainly possible through an effective MBRN, it has to be fully implemented, including its community services.

Item Type: Report
Publisher: Health and Social Care Evaluations (HASCE)
Departments: Health and Social Care Evaluations (HASCE)
Depositing User: Anna Lupton
Date Deposited: 14 Nov 2019 10:27
Last Modified: 15 Nov 2019 08:16
URI: http://insight.cumbria.ac.uk/id/eprint/5247

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