New Strategies for success in the NHS: a Blackpool Perspective

On Sept 12th  Prof Nick Bosanquet gave a lecture at Blackpool Teaching Hospitals NHS Foundation Trust and then toured the hospital at the invitation of the Chairman Ian Johnson. His lecture was on the theme of “Blackpool Paths to Success.”

Hospitals are facing insolvency worldwide as the era of rising hospital admissions ends. UK Hospitals now face the same outlook   as those in Sweden where admissions rose by 1 % in the last 10 years compared to 38% in the UK.They also face a 4% a year reduction in tariffs. In effect they are going to be paid less for treating the same number of patients. So how can they redesign services in order to improve outcomes?

Blackpool starts with some positives. It is now an integrated Trust covering community services as well as hospital services. It now has a Clinical Trials Unit  which has raised the numbers of patients in trials from less than 1000 to 3700. Blackpool should now take the lead in developing a coherent strategy for the health economy with its new players in Clinical Commissioning Groups, and Health and Wellbeing Board s,

The new strategy can be based on a four stage model of healthcare:


Screening and early Detection.

Active treatment usually on a day basis.

Care programmes and risk management.

The model can be used to develop care pathways in key disease areas. The aim would e to raise Blackpool to best national and international practice. For example one year survival for patients with lung cancer is 18.3 %  in Blackpool and Fylde compared to 33.4% in Liverpool. 75% of mortality is now in cancers, heart disease and respiratory disease

There are now clear international standards for process and outcomes. For cancer the US ambulatory cancer centres have set the standard with 10 days from referral to treatment. In heart disease we have a local success in the UK though the National Service Framework with a 40 % reduction in mortality over the last 15 years: and for COPD Finland has set the standard with a 36 per centre reduction in hospital admissions. All these successes were made possible by redesigning services so as to provide more coherent support and better communication with patients.

Partnership with pharmaceutical companies in community based trials is one key move to access the investment and the expertise to design these pathways, Prof Bosanquet mentioned the experience of Salford with the GSK sponsored trial on COPD.

There was considerable interest in the proposal for an agreed strategy across the health economy and in early 2013 Nick has been invited to return to Blackpool to work with the new partners in developing this.

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Alex O’Byrne, Associate at Volterra, is an experienced economic consultant specialising in economic, health and social impact, economic strategy, project appraisal and socio-economic planning matters.

Alex has led the socio-economic and health assessments of some of the most high profile developments across the UK, including Battersea Power Station, Olympia London, London Resort, MSG Sphere and Westfield. He has significant experience inputting to EIAs and s106 discussions as well as drafting economic statements, employment and skills strategies and affordable workspace strategies.

Alex is also experienced at economic appraisal for infrastructure. He was project manager of the economic appraisal for the City Centre to Mangere Light Rail in Auckland. He also led the economic and financial appraisals of the third tranche of the Transport Access Program for Transport for New South Wales, in which Alex developed and employed innovative methodological approaches to better capture benefits for individuals with reduced mobility.

He is interested in the limitations of current appraisal methodologies and ways of improving economic and health analysis to ensure it is accessible to as many people as possible. To this end, Alex recognises the importance of transparent and simple to understand analysis and ensuring all work is supported by a robust narrative.

Alex holds a BSc (Hons) in Economics from the University of Manchester and he was a member of the first cohort of the Mayor’s Infrastructure Young Professionals Panel.


Senior Partner

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Ellie is a partner at Volterra, specialising in the economic impact of developments and proposals, and manages many of the company’s projects on economic impact, regeneration, transport and development.

With thirteen years experience at Volterra delivering high quality projects to clients across the public and private sector, Ellie has expertise in developing methods of estimating economic impact where complex issues exist with regards to deadweight, displacement and additionality.

Ellie has significant experience in estimating the economic impact across all types of property development including residential, leisure, office and mixed use schemes.

Project management of recent high profile schemes include the luxury hotel London Peninsula, Battersea Power Station and the Nova scheme at London Victoria. Ellie has also led studies across the country estimating the economic and regeneration impact of proposed transport investments, including studies on HS2 and Crossrail.

Ellie holds a degree in Mathematics and Economics from the University of Cambridge.