Reducing spending on low clinical value treatments – Audit Commission, Health briefing, April 2011

Posted on June 24, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Evidence Based Practice, Health Economics | Tags: |

Reducing spending on low clinical value treatments – Audit Commission, Health briefing, April 2011

“This briefing looks at primary care trusts’ (PCTs) spending on low clinical value treatments and how some PCTs have successfully reduced their spending in this area. By low clinical value treatments we mean those treatments that are either clinically ineffective or not cost-effective.

Most, if not all, PCTs have identified reducing low clinical value treatments within their Quality, Innovation, Productivity and Prevention (QIPP) plans. No single national list of low clinical value treatments exists and PCTs have been developing their own approaches.

The aim is to free up money spent on low clinical value treatments and use it either to deliver a PCT savings plan or to invest in services with better clinical outcomes. Deciding where to spend money and the clinical effectiveness of services commissioned will be just as relevant for GP consortia as they take control of the NHS budget.

Our analysis shows that it is possible for PCTs to reduce their expenditure on low clinical value treatments if they make efforts to do so. Nationally we estimate that a reduction in PCT spending of between £179 million and £441 million is achievable. By looking at the actual and estimated spending and PCT population numbers at the PCTs we visited, it appears that for every person in a PCT’s population an annual reduction in spending of £10 is possible. Nationally, this would suggest an annual reduction in spending of about £500 million. Hospitals would not make the same saving, but there would be increased capacity and money available for treatments of higher clinical value. However, the opportunities will vary for each PCT and some may decide that  securing potentially modest reductions is not worth the effort required. For others it may be significant. The Audit Commission has developed a tool to help PCTs identify the likely local potential for reducing spending.

This briefing summarises how PCTs are engaging with this challenge and sets out the progress some PCTs have made towards ensuring the NHS provides the right treatments for the right people.”

Advertisements

Make a Comment

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

Liked it here?
Why not try sites on the blogroll...

%d bloggers like this: