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 area teams, this investment is likely to move from a ratio of 3/1 to 10/1.

PRIORITY AREA OUR NATIONAL RESULTS £s 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 upto 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 upto 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