NERA’s Role in a Health Economy Sustainability Review

The Situation

Like many health care systems, North West Surrey Clinical Commissioning Group (NWSCCG) and their main provider of services, Ashford and St Peter’s Hospital NHS Foundation Trust (ASPH), were facing significant challenges in meeting demand for health services. These challenges were caused by a combination of demand pressures, including an aging population, and financial constraints. These organisations wanted to evaluate strategies and actions that would strengthen the financial and clinical sustainability of their services. ASPH were also in the process of seeking clearance from the Competition and Markets Authority for their merger with the Royal Surrey NHS Foundation Trust.

NERA's Role

NERA was commissioned jointly by the NWSCCG and ASPH to review strategic options for developing a sustainable clinical and financial model for ASPH. To do this, we worked extensively with patient-level data provided by ASPH and NWCCG to identify opportunities and risks and propose initiatives to improve both the clinical and the financial performance of the Trust. To develop robust and authentic results, the NERA team worked closely with clinicians from both organisations to identify, validate, and challenge the modelling work as it developed.

The Result

NERA’s work set out a series of recommendations to deliver significant savings to both organisations. The recommendations also strengthen the clinical sustainability of ASPH. Several of these recommendations have already been adopted. The organisations have established a joint team to implement the recommendations, supported by contractual incentives that bind the two organisations into delivering tangible savings. Other recommendations are expected to be phased in over the coming months.