Alderwich, H., Robertson, R., Appleby, J., et al. Better value in the NHS: the role of changes in clinical practice. The King’s Fund, 2015.
“The reasons why overuse happens are complex. They include failures to follow professional guidelines, lowering thresholds for treatment, lack of access to alternative treatment and supply-induced demand for services. Overuse can also be driven by ‘silent misdiagnosis’: the gap between what patients want and what doctors think they want. In fact, what patients often want when they are involved in decision making is less treatment….” (pg 49)
CAB: Health Economics : Produced by Health Scotland this new bi-monthly current awareness bulletin rounds up the latest publications for you. You can sign up for alerts via the Knowledge Network to receive this bulletin, free of charge. Click on the link provided to find the latest issue, and contact form to sign up for updates.
NHS Improvement, Transforming patient-level costing in the NHS
The costing transformation programme aims to improve the quality of costing information in the NHS, with patient-level costing (PLICS) and a single annual cost collection. This will support providers to deliver better, more efficient outcomes.
To support the sustainable delivery of high quality patient care as outlined in the Five Year Forward View providers need to fully understand their current models of care and what the impact would be of moving to a new way of delivering services.
Cost is an important factor in evaluating how effectively and efficiently you're delivering care to patients. Having accurate, consistent, patient-level cost information will help you to:
- make the best possible use of resources
- evaluate clinical practice
- compare different ways of working
Link available to sign up to the programme newsletter.
NHS England - In this update of the NHS Five year plan the section on funding and efficiency provides a 10 point efficiency plan:
1. Free up 2000 to 3000 hospital beds (reduction of delayed transfers)
2. Further clamp down on temporary staffing costs and improve productivity
3. Use the NHS' procurement clout
4. Get best value out of medicines and pharmacy
5. Reduce avoidable demand and meet demand more appropriately
6. Reduce unwanted varaition in clinical quality and efficiency (Getting it Right First Time)
7. Estates, infrastructure, capital, and clinical support services
8. Cut the costs of corporate services and administration
9. Collect income the NHS owed
10. Financial accountability and discpline for all trusts and CCGs.
To read more click here
NICE Cost Saving and Resource Planning
A guide to cost saving, and how to establish the costs of guidance. This replaces the previously known NICE "Do not Do" database.
OECD: Tackling wastefule spending on Health, 2017