PCT RESPONSIBILITIES

1
PCT RESPONSIBILITIES

• Commission services appropriate to population
  needs from Hospital and Community providers
• Reduce inequalities of access to health care for
  PCPCT residents
• Improve quality and range of services commissioned

2
KEY QUESTIONVIABILITY?

• Issues
• Cost
• Volumes of activity
• Affordability within National Tariff

3
MARY ROSE BIRTH CENTRE

• Current costs (12 beds) 668,000
• Estimated costs (6 beds) 520,000

4
MARY ROSE BIRTH CENTRE

• Areas of activity Volumes
• Births 345
• Antenatal admissions 122
• Ward attenders 850
• Intrapartum transfers 55
• Based on activity analysis that showed that 21
  of Portsea Island residents used the Mary Rose
  Birth Centre.

5
MARY ROSE BIRTH CENTRE

• AFFORDABILITY
• Estimated costs 520,000
• Estimated revenue 445,000
• ________
• Shortfall 75,000
• ________

6
MARY ROSE BIRTH CENTRE

• Shortfall 75,000
• Birth Centre midwives undertake ante-natal
  clinics
• - Do 4 out of 10 x 500 ladies _at_ 40 80,000
• Achieve Gosports of residents using Blake
  Birth Centre (26)
• - For Portsea Island residents that would equal
  450 births
• That extra 95 births 80,000

7
ARE STAND ALONE UNITS SUCCESSFUL?

• Crowborough 350
• Edgeware 500
• Dover 400 (population 105,000)
• Canterbury 370 (population 139,000)
• Portsea Island population 137,000

8
WHAT ARE THE OPPORTUNITIES?

• DIFFERENT MODELS OF CARE
• Community Midwife Centre
• Ante/post natal care
• Births
• Parental skills
• Part of Maternity Service Network

9
BENEFITS

• Opportunity to exercise choice
• National Childbirth Trust (2004) support Birth
  Centres
• Local service/easily accessible by mothers to be,
  families/partners
• Continuity of care

10
RISK ISSUES

• Capital availability
• Activity volumes
• Manpower capacity

11
CONCLUSIONMARY ROSE BIRTH CENTRE

• PCT wants to commission services
• Clinically supported
• Financially viable
• Next steps
• Work with services to explore new models of care
  across range of maternity services