Improving NHS Productivity in Elective Care: Reducing Costs and Length of Stay in Hospitals (Monitor)

Summary

A report by Monitor links potential for overall capacity management improvements in acute hospitals to productivity improvements in elective care. Evidence from highest-performing elective care units in the NHS (and internationally) indicates that NHS trusts could save 13-20% of spending on elective care by better management of patient flow along elective care pathways.

This report, based on research from the Royal College of Ophthalmologists and the British Orthopaedic Association, offers recommendations for increasing the efficiency and productivity of elective services. Nine areas for operational improvement in elective care include:

  1. Stratification of patients by risk.
  2. Streamlined outpatients and diagnostics.
  3. Day-of-surgery admission.
  4. Specialisation and extended roles in theatre or outpatient procedure teams.
  5. Optimised theatre scheduling and management.
  6. Surgical teams are informed and supported to use theatres effectively.
  7. Standardisation of ward care and enhanced recovery.
  8. Proactive management of infections and readmissions.
  9. Alignment of routine follow-up intensity to patient risk profiles.

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Reference

Improving NHS productivity in elective care will reduce costs and cut the time patients spend in hospital. London: Monitor, October 12th 2015.

See also:

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Reference

Improving productivity in elective care. London: Monitor, October 12th 2015.

This relates to:

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Reference

Helping NHS providers improve productivity in elective care. London: Monitor, October 8th 2015.