Academy of Medicine Royal Colleges. Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care. AMRC, Nov 2014
“The Academy’s report into how the NHS can achieve better value in care and cost through ensuring that resources in clinical care are used appropriately and unnecessary interventions which do not add value for patients are avoided.”
- Doctors should embrace the values of resource stewardship in their clinical practice and use the waste reduction toolkit provided in this report to maximise the value of every intervention.
- Medical Royal Colleges and specialist societies should establish mechanisms to identify the areas of waste within their specialty and provide leadership in tackling them using tools such as: a. The NICE ‘do not do’ recommendation database b. A ‘Choosing Wisely’ list of low-value interventions for their specialty
- Local Education and Training Boards, deaneries and medical schools should support the development of clinical and leadership skills for high value care, see Box on page 17.
- NHS organisations across the UK should provide doctors with the appropriate time and support to review their clinical practice to find areas where they can reduce wasted resource.
- Health Commissioners should encourage the reduction of waste in clinical processes.
- Public health authorities across the UK should create and support initiatives that reduce wasted resource in clinical settings.
- All those working in health should take steps to increase their understanding of the carbon costs of health care activities.” (page 8)