Delivering care more efficiently

health and care workers

Our focus on place-based care, instead of organisation-based care, aims to create neighbourhood teams to provide health and social care for local people.

Working together, health and care professionals, will be more efficient, improve outcomes for local communities and help reduce demand for expensive hospital services by providing early help and support for self care.

We are committed to supporting the development and transformation of general practice through investment and reform, supported by the national commitment to invest significantly more into general practice services by 2021.

We recognise that improving efficiency is not all about integration and so we have established programmes to streamline hospital services, improve the delivery of specialist care, maximise the gains from RightCare and Getting It Right First Time (GIRFT) and champion the adoption of new technologies to drive efficiency.


iStock 529682964The Capped Expenditure Process (CEP) is a mandatory national programme introduced in 2017/18 to support NHS organisations in a place facing significant financial challenges. It brings together commissioners and providers to agree an overall budget for their area and how it should be used to provide high quality services to local people.

It can help remove organisational barriers and encourage greater partnership working. The NHS in Central Cheshire is one area that has been through the national programme and found it a worthwhile experience and organisations continue to work together as they move into 2018/19.

The Cheshire and Merseyside Health and Care Partnership is developing a voluntary version of the programme – calling it CEP-Lite. NHS organisations in each of our nine places will be able to opt to participate to see how working together can unlock opportunities that benefit their local population.

Local authorities and other services can join in as part of their place’s participation, though they should also benefit from there being agreement on the overall NHS budget for their place, how it is to be spent and how to focus on solutions that support financial sustainability across a whole system. A number of places in Cheshire and Merseyside have already committed to the CEP-Lite principles and further details on the programme will be available soon.


Facilities management has a direct bearing on patient experience, for instance by ensuring that premises are safe, warm and clean environments for staff and patients. And there are also opportunities to achieve efficiency savings, for example through reducing unwarranted variation in energy costs. Our Partnership has an Estates Strategy which aims to make better use of existing estate, reduce running costs and improve quality, dispose of surplus estate, and ensure better coordinated use of facilities across public sector bodies.



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