Published Work

Better value in the NHS

Public Deposited

the role of changes in clinical practice.

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  • London
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  • The King's Fund
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  • 2015
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  • 155p.
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  • This report looks back at past trends in NHS productivity to help us to understand how this has been done in the past and also identifies a number of opportunities for the future. The authors consider three areas - generic prescribing, length of stay and day case surgery – in which the NHS has made significant and sustained gains in productivity over a number of years, allowing more (and often better) care to be delivered within the same budget. They then outline a number of areas where the NHS has opportunities to improve value in the future, focusing in particular on changes in clinical practice. The opportunities identified are: tackling inappropriate care – overuse, underuse and misuse; identifying and removing unwarranted variations in clinical practice; and using evidence of better ways of delivering care and support services for specific patient groups - such as people with long-term conditions, older people living with frailty and complex needs and people at the end of their lives - to drive service improvement.
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