Cardiovascular disease integrated care pilot to improve patient outcomes closer to home

"Within the context of a growing elderly population and better survival of people with CVD conditions, this project aimed to support patients to remain in the community for as long as is clinically possible, avoid hospital admissions and reduce length of stay."

Cardiovascular disease: integrated care pilot to improve patient outcomes closer to home
British Heart Foundation
NICE Quality and Productivity case study
May 2016

Read more here.

Abdominal drainage versus no drainage post-gastrectomy for gastric cancer

"This Cochrane review concludes that there is no convincing evidence to support the routine use of abdominal drains in patients under-going gastrectomy for gastric cancer"

Abdominal drainage versus no drainage post-gastrectomy for gastric cancer

The UK Cochrane Centre and NICE
Quality and Productivity case study

April 2016

Read more here. 

Management of urinary incontinence in women

"Regular teaching sessions in primary care using NICE guidance on the management of urinary incontinence in women and regular multidisciplinary team reviews improve clinical outcomes. Compliance with NICE guidance results in reduced referral to secondary care." 

Management of urinary incontinence in women (Quality and Productivity case study)
Royal Cornwall Hospitals NHS Trust
NICE
February 2016

Read more here.

Electronic blood transfusion: Improving safety and efficiency of transfusion systems

"Transfusion errors are an important, avoidable, serious hazard. Wrong transfusion is one of the two leading causes of death from transfusion reported to Serious Hazards of Transfusion (SHOT) in the United Kingdom (SHOT steering committee 2011). The initiative ‘re-engineers’ hospital transfusion services using new technology."

Electronic blood transfusion: Improving safety and efficiency of transfusion systems (Quality and Productivity case study)
Oxford University Hospitals
NICE
February 2016

Read more here.

Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care

"The principal component of this initiative is for a multidisciplinary Alcohol care team in each district hospital, led by a consultant with designated sessions, who will collaborate across hospitals and primary care, to develop a coordinated alcohol treatment and prevention programme. This team would organise systematic interventions and alcohol specialist nurses."

Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care (Quality and Productivity case study)
The British Society of Gastroenterology and the Royal Bolton Hospital NHS Foundation Trust
NICE
March 2016

Read more here.

Mechanical thrombectomy for large vessel occlusion stroke: improving clinical outcomes and reducing cost

"There have been significant cost-saving benefits to the NHS and social care providers from reduced hospital bed stay and reduced disability. There is no additional burden to the NHS because the majority of patients are admitted directly to the Stroke Unit after the procedure without the need for ITU support." 

Mechanical thrombectomy for large vessel occlusion stroke: improving clinical outcomes and reducing cost (Quality and Productivity case study)
Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust
NICE
March 2016

Read more here.

Workforce policy in the English NHS

"This report gives an overview of the components of workforce policy in the English NHS and the bodies which shape it. The report proposes ways in which workforce policy could be strengthened to improve the quality and productivity of care."

Fit for purpose?: Workforce policy in the English NHS
The Health Foundation
March 2016

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. 

Improving productivity in elective care

"This report concentrates on potential improvements in the operational management of elective patient pathways within the direct control of NHS providers and identifies a mechanism whereby clinicians and managers can work together to maximise provision of care."

Improving productivity in elective care
Monitor
October 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.

Review of Operational Productivity in NHS providers

"This interim report outlines the work that has been carried out by Lord Carter of Coles to review the productivity of NHS hospitals, working with a group of 22 NHS providers.."

Review of Operational Productivity in NHS providers
An independent report for the Department of Health by Lord Carter of Coles
Interim Report
June 2015

Read more here.

Health and social care priorities for the Government

" it is essential that we move to a more empowering, bottom-up approach while at the same time holding health care leaders to account for the care their organisations deliver to patients and service users."

Health and social care priorities for the Government: 2015–2020
Nuffield Trust
June 2015

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.

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.

Service redesign: early identification of patients at risk of developing end-stage kidney disease

"This initiative aims to reduce the rate of loss of kidney function in people with diabetes and chronic kidney disease, so that fewer people develop kidney failure and require dialysis."

Service redesign: early identification of patients at risk of developing end-stage kidney disease
Heart of England NHS Foundation Trust
QIPP Case Study
August 2014

Read more here.

NICE local practice case studies

"The NICE Local practice collection includes shared learning examples showing how NICE guidance and standards have been put into practice, and quality and productivity case studies outlining quality improvement initiatives which have also helped cut costs and save money."

The Local Practice collection combines case studies from the Quality and Productivity collection (formerly QIPP) and the Shared Learning collection.

Find out more and access the case studies here.