NHS Improvement | July 2018 | The NHS saves £324 million in a year by switching to better value medicines
NHS Improvement have released figures that show how the NHS has made savings of £324 million using biosimilar medicines, a biological medicine highly similar to another biological medicine. These better value biosimilar and generic medicines, which are just as safe and effective as the more expensive original biological versions, an example being the Biosimilars of trastuzumab, breast cancer drug prescribed in place of the branded medicine Herceptin. They are also being used to treat conditions including rheumatoid arthritis, some forms of cancer and inflammatory bowel conditions.
NHS Improvement | June 2018 | Reducing reliance on medical locums: a practical guide for medical directors
The guide gives six practical steps to addressing over-reliance on medical locums and taking great control of workforce deployment. It also contains case studies from trusts who have been successful in finding alternatives to using medical locums (NHS Improvement).
This document reflects some of the strategies being adopted by trusts to reduce reliance on medical agency staff. All the trusts included in this document have a relatively lower medical agency spend in comparison to other trusts in their region as a result of these common strategies and other strategies reflected in this document.
NHS England | May 2018 | Paramedic’s brainwave eases A&E pressures by keeping “frequent callers’ away
A senior paramedic who noticed that a small number of patients used a lot of NHS resources and staff time came up with the idea to address their problems with an innovative programme. Rhian Monteith arranged a scheme where the frequent callers were able to meet for coffee and a chat. The scheme The High Intensity User programme was innovated by Rhian who collaborated with other teams to compile a list of 23 patients, many suffering from mental health problems or loneliness, who had visited A&E more than 700 times during the previous three months, mostly by ambulance. Through personal mentoring and one-to-one coaching, as well as getting them involved with community activities, the patients were encouraged to phone her rather than dial 999.
Rhian helped A&E attendances, 999 calls and hospital admissions drop by about 90 per cent among the group. The scheme was then scaled up to cover about 300 patients in Blackpool over the following three years, saving the NHS more than £2million. It has now been rolled out to around a fifth of the country with 36 local heath teams adopting the scheme. (Public Health England)
NHS England | April 2018 | Pioneering price match scheme frees up millions for frontline care
A collaboration between doctors at hospitals in South Yorkshire which enabled them to purchase larger quantity of product has led to savings of £2 million. Among the savings was a £400,000 in buying only one type of examination glove.
The clinician-led scheme in Sheffield involved seven hospitals and required them to agree on the best product and commit to bulk buy jointly to save money. They used a scoring system on all products to ensure they met the high standards necessary for use by the NHS, with the products which met all of these criteria and provided the best value for money selected. This led to an innovative ‘price match’ scheme that drove down the cost of simple items such as anti-embolism stockings and surgical gloves.