14 / 12 / 2010
This joint publication brings together practical recommendations from focus groups with seven specialty medical societies and royal colleges, each of which were asked to suggest ways that clinicians in their own specialties can release NHS resources while maintaining or enhancing quality.
Seven medical specialties address how they can help tackle the NHS financial challenge.
The NHS faces the most prolonged period of financial constraint in its history. In the next four years it needs to find £15-£20 billion of savings at the same time as tackling underlying increase in the costs and demand for healthcare, and managing one of the biggest reorganisations in its history.
This report examines how to release NHS resources across the seven specialties of:
- vascular services
The answers tackle issues with referrals, discharge, follow-up, procedures of low or questionable value, workforce profiles, commissioning, waste, and productivity, among others.
The recommendations will be of use to local commissioners and providers, clinical leaders, policy makers and anyone else seeking to address the most serious period of financial constraint in the history of the NHS.
Download the full report or individual chapters below
|Individual report chapters|
The British Society of Neurological Surgeons recommendations cover:
Reduction of changeover time in theatres
Other areas of variation in practice
Read the neurosurgery chapter.
The British Geriatrics Society recommendations cover:
Advance care planning
Recognition and treatment of delirium
Virtual clinics and telephone consultations
Frequency and expense of litigation
Efficient working practices
Read the geriatrics chapter.
The Vascular Society recommendations cover:
Structure of vascular services nationally
Procedures of low or questionable value
Read the vascular services chapter.
The Royal College of Pathologists recommendations cover:
Workforce profiles and training
Efficiency and productivity
Openness on performance
New developments and molecular testing
Information technology and disintermediation
Clinical leadership in pathology
Who should do what.
Read the pathology chapter.
The British Orthopaedics Association and the British Orthopaedic Directors Society recommendations cover:
Discharge planning and length of stay
Procedures of questionable value
Read the orthopaedics chapter.
The British Association of Perinatal Medicine recommendations cover:
Non-rational variation in practice
’24 weeks and below’ position
Use of SHOs/junior doctors
Read the neonatology chapter.
The British Association of Dermatologists recommendations cover:
Technology to triage referrals
Telephone and non face-to-face consultations
Generic substitution for prescribing
Reducing unnecessary consultations
Other system-wide issues.
Read the dermatology chapter.