Rubicon working with South, Central and West and North of England CSUs has developed an activity and financial model designed to help NHS commissioners and providers develop their five year strategic plans. Our model helps clients to:-
• Examine different scenarios for intended interventions and changes in the system – for example changes in admission rates, length of stay and efficiency (e.g. new to follow-up ratios). The scenarios can define and consider different groupings such as by age band, locality, long-term condition, or number of co-morbidities etc.
• Demonstrate the impact of the scenarios – you can consider the effect of shifting activity between care delivery settings or between channels within a particular delivery care setting. For any activity ‘avoided’, the model considers the ‘substitute’ activity that is needed. For example, if 1,000 occupied bed days are avoided, the model shows the replacement activity that would be needed.
• Understand growth and cost pressures – taking account of factors such as growth driven by demographic change, housing development and other user defined growth, plus inflation/ deflation and marginal costs.
• Link with other planning tools and processes – outputs can be linked into other planning tools such as workforce models, individual organisation’s strategic plans, capacity plans, Vanguard models and individual business cases.