Themes and programmes
Value for money
Although the Improvement Foundation's primary purpose is not to identify waste or make savings, one of our key results is the creation of substantial efficiencies as a result of our improvement work.
In 2006/7, following a £10 million investment by the NHS, we created savings of £33 million.
This is a conservative figure based on our long-term conditions work, and does not take into account the improvements in unscheduled and scheduled care being delivered through the Practice Based Commissioning programme. What's more, as the programmes spread, through our regional centres, this investment is likely to move from a ratio of 3/1 to 10/1.
| PRIORITY AREA | IF NATIONAL RESULTS | £ SAVED NATIONALLY |
| CHD |
4x greater reduction in CHD mortality 3,000 lives from Myocardial Infarctions (MIs) saved per year Non-fatal MIs also reduced by 3,000 per year |
£12 million per year (£9m saved by not needing to admit people, and £3m from not needing expensive tertiary interventions, such as angiograms) |
| COPD |
67% improvement in the number of COPD patients with smoking status recorded Total COPD admissions reduced by 16% |
£12m per year (Due to fewer admissions to hospital) |
| DIABETES |
Overall, 17% improvement in diabetic patients with excellent control (HbA1c<7.5) |
£6m per year (Due to fewer admissions to hospital) |
| UNIQUE CARE |
Outcomes include a reduction of 13-25% in total admissions for the over 65 population, not just a small cohort of case managed individuals In addition bed days in entire over 65 practice populations have been reduced by 20-40% |
£1.2m per year in reporting practices (If rolled out to all practices in the 6 PCTs, savings rise to £53m per year) |
| PREVENTION OF FALLS |
32% decrease in falls handled by the ambulance service |
£2m per year saved just for these small populations |
| MENTAL HEALTH |
44% reduction in patients receiving sick notes of over 13 weeks (getting people back to work) 20% reduction in referrals to specialist services Up to 21% reduction in GP consultations |
Potential benefits if adopted by every PCT in England: savings to the Benefits Agency of over £25m |