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High cost patients and the consortium approach
1Merton, Sutton & Wandsworth Health Authority, Mitcham, UK. susan.schonfield@mswha.sthames.nhs.uk
Insights
The Pan-Thames Haemophilia Consortium improved regional planning for haemophilia services. High-cost therapies for a small patient group consumed a significant portion of the treatment budget.
Area of Science:
- Healthcare Management
- Public Health
- Hematology
Background:
- The establishment of the Pan-Thames Haemophilia Consortium aimed to centralize and optimize regional haemophilia service planning.
- An Expert Advisory Group was formed to address high-cost elective treatment programs within the consortium.
Purpose of the Study:
- To evaluate the initial year of the Pan-Thames Haemophilia Consortium's activities.
- To analyze the resource allocation for high-cost therapies within the consortium's budget.
Main Methods:
- An audit was conducted on the consortium's first year of operational data.
- Patient demographics and treatment expenditure were analyzed.
Main Results:
- Patients receiving high-cost therapy constituted 1.6% of the total patient population.
- These patients accounted for 16% of the overall treatment budget.
Conclusions:
- The consortium demonstrated focused commissioning expertise in managing specialized haemophilia services.
- The Pan-Thames model offers a framework for national commissioning strategies for haemophilia care.
Abstract:
The Pan-Thames Haemophilia Consortium was established to provide coherent regional planning of haemophilia services. The Expert Advisory Group is a clinical reference point for the consortium and was established to consider specifically elective high cost treatment programmes. An audit of the first year of consortium activity demonstrated that patients receiving high cost therapy represented 1.6% of the patient population and received 16% of the entire treatment budget. The Pan-Thames Consortium provides focused commissioning expertise and a model for national commissioning of haemophilia services.