Developing a Complex Care Case Management Service within Primary Care

"Analysis of the Slough CCG patient population demonstrated that 5% (7,500) of people consume 43% of healthcare resources.  In an attempt to realise cost savings and improve quality of service, efforts were made to target those at higher risk of an emergency admission or A&E attendance."

Slough CCG: Developing a Complex Care Case Management Service within Primary Care
S Saran, A Thompson, R Chana
RightCare
February 2016

Read more here.

PrescQIPP

PrescQIPP (QIPP Prescribing) aims "to help NHS organisations to improve medicines-related care to patients, through the provision of robust, accessible and evidence-based resources. We also provide a platform to share innovation, learning and good practice."

The PrescQIPP website includes a range of resources to support commissioners, including:

• Bulletins and briefings
• Data for benchmarking
• Webkits
• Webinars

A perfect storm: an impossible climate for NHS providers’ finances?

" The failure to spread good practice is not a result of those in the NHS wilfully ignoring the opportunities to improve. Rather it reflects the inherent challenges of transforming a service as complex as health care."

A perfect storm: an impossible climate for NHS providers’ finances? 
S Lafond, A Charlesworth, A Roberts
The Health Foundation
March 2016

Read more here.

BRAFV600E mutation testing for thyroid cancer

"The BRAF V600E mutation test is more than 99% specific for thyroid cancer, so a positive result means that it is more than 99% likely that the patient has a malignancy and the entire thyroid can be removed in 1 operation rather than 2. This reduces the risks of complications and shortens the total time spent in hospital and recovery."

BRAFV600E mutation testing for thyroid cancer: avoiding unnecessary surgery 
NICE Quality and productivity example
Portsmouth Acute Hospitals NHS Trust
December 2015

Read more here. 

Cost and risk management in critical care: reducing the use of colloids

"In the past, colloid fluid therapy was used as the primary resuscitation fluid in critically ill people. Increasing evidence ... suggests that crystalloid fluids are equivalent in effectiveness and cost considerably less. This project aimed to reduce colloid use by removing them from the clinical area and making them available by consultant prescription only."

Cost and risk management in critical care: reducing the use of colloids
City Hospitals Sunderland NHS Foundation Trust

NICE Quality and Productivity case study

November 2015

Read more here. 

Supply chain management and collaboration: cardiology device procurement

"This initiative helps organisations within a large geographical area (in this case the South West) to smooth price differentials while maintaining choice for clinicians and focusing strongly on quality. This case study describes a collaborative approach across 10 interested NHS acute trusts in the region for procuring cardiology products."

Supply chain management and collaboration: cardiology device procurement
Avon,Gloucestershire,Wiltshire, and Somerset Cardiac & Stroke Network
NICE Quality and Productivity case study

November 2015

Read more here. 

Podiatry education to empower patients to self-care

"This project was designed to identify and train patients suitable for self-care, so they can be discharged from the service. This helped to ensure that podiatry care is targeted at those with the greatest need. "

Podiatry education to empower patients to self-care
Quality and productivity collection example
Community and Primary Services, Sheffield Teaching Hospitals NHS Foundation Trust
July 2015

Read more here.

A Medicines Optimisation Service

"The service was developed as a result of a pilot in one practice who used innovation funding to employ a pharmacist to improve their management of medicines. The idea came from the GPs who felt they were always rushed when looking at discharge medicines and this task would be more efficiently and effectively undertaken by a pharmacist. "

A Medicines Optimisation Service
Wyre Forest Clinical Commissioning Group
NICE Shared Learning example
May 2015

Read more here.

A Right Care Collaboration 2015/19: Forward View

"During 2015/16, NHS Right Care will scale up its activities and will seek to develop partnerships across the major NHS bodies to develop a variations and value programme." 

A Right Care Collaboration 2015/19: Forward View
NHS Right Care
June 2015

Read more here.

Stopping perioperative antibiotics for post-tonsillectomy morbidity

"Considering the implications for development of antibiotic resistance with increased antibiotic use and the lack of clinical benefits demonstrated by this review, routine perioperative antibiotic prescription for tonsillectomy is not recommended."

Stopping perioperative antibiotics for post-tonsillectomy morbidity: QIPP Case Study
Quality and productivity collection examples
The UK Cochrane Centre and NICE
March 2015

Read more here.

Mobile clinics for chronic stable glaucoma management

"This initiative aims to improve productivity by reducing demand for appointments from low risk patients in hospital eye clinics, allowing the hospital to see more complex cases. The patient experience should improve because the number of appointments required for testing is reduced and the clinic is brought to locations nearer patients’ homes."

Mobile clinics for chronic stable glaucoma management: improving access and alleviating hospital demand
Ipswich and East Suffolk Clinical Commissioning Group and Ipswich Hospital NHS Trust
NICE Quality and Productivity example
January 2015

Read more here.

Antigen-specific active immunotherapy for ovarian cancer

"Antigen-specific active immunotherapy for ovarian cancer is not supported by sufficient good quality evidence. Consideration could be given to using it only within the context of a research or audit project.

Reducing or stopping antigen-specific active immunotherapy for ovarian cancer is likely to improve the quality of patient care by reducing exposure to unproven therapies and result in productivity savings."

Antigen-specific active immunotherapy for ovarian cancer (Quality and productivity collection examples)
The UK Cochrane Centre and NICE
November 2014

Read more here.

A pharmacist-led ulcerative colitis review service

"This case study describes a pharmacist-led ulcerative colitis review service which was commissioned by Bushloe End surgery in Leicester."

A pharmacist-led ulcerative colitis review service: Improving medicines adherence in general practice: Quality and productivity collection
Bushloe End surgery
NICE
October 2014

Read more here.

Bed rest and posture for preventing post-dural puncture headache

"There are no clear benefits associated with either bed rest or fluid supplementation. It is not current practice for patients to be kept in hospital strictly for bed rest and so this review would not result in the freeing up of beds but there may be cash savings from the reduced use of intravenous fluids."

Bed rest and posture for preventing post-dural puncture headache
The Cochrane Collaboration
September 2014

Read more here.

Wireless working in hospitals: Improving efficiency and safety of out-of hours

"This initiative introduced a wireless IT system to manage workflow out of hours in hospitals, replacing the pager system. The objectives were to improve the quality and speed of communication between doctors and nurses, reduce information loss and improve satisfaction for both clinicians and patients." 

Wireless working in hospitals: Improving efficiency and safety of out-of hours
Nottingham University Hospitals NHS Trust
NICE QIPP Case Study
Quality and productivity example

June 2014

Read more here.

NICE Tobacco return on investment tool

"The NICE tobacco return on investment tool has been developed to help decision making in tobacco control at local and sub-national levels."

Tobacco return on investment tool
Public Health ROI Tool
NICE
September 2014

Access the tool and all the resources here.

NICE Physical activity return on investment tool

"The physical activity return on investment tool has been developed to help decision making in physical activity programme planning at local and sub-national levels."

Physical activity return on investment tool
NICE
September 2014

Access the tool and all of the resources here.

NICE Alcohol return on investment tool

"The alcohol use return on investment tool has been developed to help decision making on interventions and strategies to prevent and reduce alcohol use at local and sub-national levels."

Alcohol return on investment tool

Public Health ROI Tool

NICE

September 2014

Access the tool and all the resources here.

Crisis response falls team: reducing admissions and repeat falls

"This initiative saves money by reducing the proportion of falls related calls that result in hospital admission. From over 1300 referrals accepted by the CRFT in Northamptonshire in 2012, just over 1000 admissions were avoided." 

Crisis response falls team: reducing admissions and repeat falls
East Midlands Ambulance Service NHS Trust
QIPP Case Study
August 2014

Read more here.

Pressure ulcers: NICE clinical audit tools

NICE have published two clinical audit tools for pressure ulcer prevention, one for paediatric care and one for adults.

"Clinical audit tools are Excel spreadsheets developed to help with clinical audit. They contain clinical audit standards, data collection sheets, a clinical audit report an action plan template and a printable data collection form.  When data is entered into the data collection sheets the audit results are automatically displayed in the audit report."

Access the tools and find out more here.