Maximising resources in adult mental health – Audit Commission Briefing – June 2010

Posted on June 24, 2011. Filed under: Mental Health Psychi Psychol | Tags: |

Maximising resources in adult mental health – Audit Commission Briefing – June 2010

“This Audit Commission briefing asks what scope there is for improving the efficiency of the acute care pathway in adult mental health, while maximising quality. The data shows there is wide variation in the use of inpatient beds and between bed days and spending on crisis resolution and home treatment teams. The data is only the starting point. Mental health trusts and primary care trusts need to work together to understand the detail behind the headline figures.”

 

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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.”

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Costing care pathways: Understanding the cost of the diabetes care pathway – Audit Commission [UK] – 16 May 2011

Posted on May 17, 2011. Filed under: Diabetes, Health Economics | Tags: |

Costing care pathways: Understanding the cost of the diabetes care pathway – Audit Commission [UK] – 16 May 2011
 
“This briefing, produced jointly with the Association of Chartered Certified Accountants (ACCA), finds that care pathways are altered, and commissioning decisions made, with the intention of benefitting patients, but often without fully understanding the cost implications.

Poor quality data across outpatient and community services was the most common barrier to costing the pathways.

Using diabetes as an illustration, the briefing shows how organisations can use nationally available data to chart spending at a high level for various conditions.

This information can be used to help track changes in pathways and the impact on costs.

It can also be used to compare costs between Primary care Trusts and to identify possible areas for savings.”

… continues on the site

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Reducing expenditure on low clinical value treatments: A health briefing – Audit Commission [UK] – 14 April 2011

Posted on April 21, 2011. Filed under: Evidence Based Practice, Health Economics, Health Systems Improvement | Tags: |

Reducing expenditure on low clinical value treatments: A health briefing – Audit Commission – 14 April 2011

“This health briefing suggests that the NHS could save up to £500 million a year by carrying out fewer ineffective or inefficient treatments.

‘Reducing expenditure on low clinical value treatments’ argues that a single approach to defining these low value treatments could help to reduce the duplication of effort between primary care trusts (PCTs) and help to ensure consistency across the country.

The briefing considers some PCTs’ efforts to decommission treatments of low clinical value. The approaches they took and the list of treatments they targeted varied. The Commission is not advocating any particular list, but the types of low value treatments identified included:

Those considered to be relatively ineffective, eg a tonsillectomy.
Those where more cost-effective alternatives are available, eg not performing a hysterectomy in cases of heavy menstrual bleeding.
Those with a close benefit and risk balance in mild cases, eg wisdom teeth extraction.
Potentially cosmetic procedures, eg orthodontics.
Decommissioning treatments can free up money that could be better spent on other treatments, but decisions can be controversial. The briefing shows how strong leadership within PCTs, as well as good communication between PCTs, and GPs, patients and the public, are crucial success factors.

A simple and easy to use online tool has also been developed that allows the user to identify savings opportunities against the ‘Croydon list’.”

Using the Reducing PCT expenditure on treatments with low clinical value online tool

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Paying GPs to improve quality: Auditing payments under the Quality and Outcomes Framework – Audit Commission [UK] – 3 February 2011

Posted on February 3, 2011. Filed under: General Practice, Health Economics | Tags: |

Paying GPs to improve quality: Auditing payments under the Quality and Outcomes Framework – Audit Commission [UK] – 3 February 2011

“Summary

This briefing examines how well primary care trusts oversee the Quality and Outcomes Framework, which incentivises GPs to improve their services to patients. It looks at whether PCTs can be confident that payments to GPs are correct and justified and that they provide value for money. It highlights the great variation between practices when it comes to exception reporting, where GPs can exclude patients from their returns for payment.

The briefing outlines features of a good approach where PCTs arrange regular visits to GP practices, carried out by suitably trained GP and lay assessors, and oversee and check scores and exception rates.”

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More for less 2009/10: Are efficiency and productivity improving in the NHS? – Audit Commission – 16 December 2010

Posted on January 11, 2011. Filed under: Health Economics | Tags: |

More for less 2009/10: Are efficiency and productivity improving in the NHS? – Audit Commission – 16 December 2010

“This briefing is an update to last year’s More for less 2008/09 report with updated data for 2009/10.

It reviews how and where primary care trusts (PCTs) spent their money, how trust income changed and how successful the NHS has been in moving care out of hospitals to more cost-effective settings. The most recent data suggests that the NHS has seen no identifiable changes in past trends. There are few signs of progress in key areas required to meet its target of saving £15-20 billion by 2014.

The briefing also includes a look at the first quarter of 2010/11.”

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Improving data quality in the NHS – Audit Commission – Released 26 August 2010

Posted on August 26, 2010. Filed under: Health Economics, Medical Records | Tags: , |

Improving data quality in the NHS – Audit Commission – Released  26 August 2010

“Annual report on the PbR assurance programme 2010
 
This report summarises the results of the PbR data assurance programme since it began in 2007. For the last three years, the Audit Commission has looked at over £200 million worth of payments for inpatient treatments.

The report finds that the accuracy of clinical coding has improved since 2007. The coding error rate has dropped from 16 per cent to 11 per cent in three years, which shows that NHS organisations have made real progress in tackling the quality of their data.

But there remains wide variation between the best and worst performing trusts, even if the gap is narrowing.

Errors are continuing to affect payments. We estimate that of the £21 billion spent on the four specialties we’ve audited for three years, £1 billion (5 per cent) was paid wrongly.

To continue to improve data quality, the report makes a series of recommendations for primary care trusts and NHS trusts to consider.

A summary of the report is available to download and examples of good practice have been published to assist trusts.

By including reviews of all 2009/10 reference cost data in the PbR assurance programme for 2010/11, we intend to work with the NHS to further improve the accuracy of costing information. More information on the future programme is available.”

Download the report and executive summary 

Improving data quality in the NHS report ( PDF, 2mb ) 

Improving data quality in the NHS executive summary ( PDF, 561kb )

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Maximising resources in adult mental health – Audit Commission [UK] – 23 June 2010

Posted on June 23, 2010. Filed under: Mental Health Psychi Psychol | Tags: |

Maximising resources in adult mental health – Audit Commission [UK] – 23 June 2010

“In the first in a series of new efficiency briefings, we ask what scope there is for improving the efficiency of the acute care pathway in adult mental health, while maximising quality.

Data shows there is wide variation between the use of inpatient beds and bed-days, and spending on crisis resolution and home treatment teams. And the data is only the starting point. Mental health trusts and primary care trusts need to work together to understand the detail behind the headline figures.

Our series of ‘Delivering more for less’ efficiency briefings look at areas of the NHS where our analysis of local and national data shows that potential efficiency savings could be made.”

Download the briefing 
Maximising resources in adult mental health ( PDF, 1mb )

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Audit Commission’s Trust Practice Mental Health Benchmarking Club – 2010

Posted on May 21, 2010. Filed under: Mental Health Psychi Psychol | Tags: |

Audit Commission’s Trust Practice Mental Health Benchmarking Club  [UK]

Please find below the presentation slides from the Mental Health Benchmarking Club workshop held on Thursday 29 April 2010 in London.

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A review of collaborative procurement across the public sector [UK] – Audit Commission – 21 May 2010

Posted on May 21, 2010. Filed under: Health Economics | Tags: , |

A review of collaborative procurement across the public sector 
Released  21 May 2010

“The National Audit Office and the Audit Commission have jointly produced this review. It draws on Audit Commission research in local government, carried out during the autumn of 2009.

The review finds that although collaborative procurement has the potential to improve value for money, the public sector procurement landscape is fragmented, with no overall governance. Consequently, public bodies are incurring unnecessary administration costs by duplicating procurement activity, and they are paying a wide range of prices for the same commodities, even within existing collaborative arrangements.

It recommends that, given the size of public sector procurement spend and the potential to significantly improve value for money, public bodies should work together much more effectively than they currently do. And there should be a clear framework to coordinate public sector procurement activity.”

Download A review of collaborative procurement across the public sector from the National Audit Office website.”

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Healthy balance: A review of public health performance and spending – Audit Commission [UK] – 11 March 2010

Posted on April 6, 2010. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: |

Healthy balance: A review of public health performance and spending – Audit Commission [UK]  – 11 March 2010

“Summary

This briefing estimates that £21 billion of NHS funds has been allocated in 2009/10 on the basis of health inequalities. Despite the health of the nation improving overall, health inequalities has proved a stubborn area to address.

It highlights some of the variation in success among different localities, particularly for teenage pregnancies. Despite the sums of money allocated, it is not always clear how much has been spent on improving health inequalities and what the impact has been. It is hard to see an obvious link between spending and improvement, or get any clear view of value for money.”

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Giving children a healthy start : A review of health improvements in children from birth to five years – UK – 3 February 2010

Posted on February 4, 2010. Filed under: Child Health / Paediatrics | Tags: |

Giving children a healthy start : A review of health improvements in children from birth to five years
Released  03 February 2010 
 
“This report assesses the local implementation of national policy from 1999 to 2009 on the health of children from birth to five years of age in England. It examines local service planning and delivery, including priority setting, and how local bodies can improve service delivery and access for vulnerable groups such as black and minority ethnic (BME) communities, lone and teenage parents. The report discusses the impact of government funding on health outcomes for the under-fives; how effectively local bodies manage their resources; and the extent to which they are providing good value for money. It provides recommendations for national and local bodies, as well as examples of notable practice.”

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Service line reporting and management in mental health conference – UK Audit Commission – 04 November 2009

Posted on November 13, 2009. Filed under: Mental Health Psychi Psychol | Tags: |

Service line reporting and management in mental health conference: 04 November 2009
Congress Centre, London

“This event was held for mental health foundation trust and aspiring mental health trust chairs, chief executives, finance directors, medical directors and clinical and business/divisional unit leads.

It enabled delegates to:

    * keep up to date with the latest developments
    * learn practical strategies to help make improvements for better management and better performance
    * understand the practical challenges and key issues of SLM for mental health trusts

The presentations from the event are available below:….continues on the website

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More for less – Are productivity and efficiency improving in the NHS? – 12 November 2009

Posted on November 13, 2009. Filed under: Health Economics | Tags: |

More for less – Are productivity and efficiency improving in the NHS? – UK Audit Commission
Released  12 November 2009

“This analytical briefing looks at how NHS money has been spent, whether primary care trusts have been successful in keeping more patients out of hospital, and whether hospitals have become more efficient. It highlights that the NHS is treating more patients at lower cost and trusts are starting to meet the challenges of the future. It suggests NHS trusts are increasing productivity and reducing unit costs. But overall, there is no sign yet that primary care trusts have been successful in moving care from hospitals closer to patients’ homes.

The briefing also includes a look at the first quarter of 2009/10.”

 

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Improving older people’s mental health – UK – Audit Commission – 2009

Posted on November 6, 2009. Filed under: Aged Care / Geriatrics, Mental Health Psychi Psychol | Tags: |

Improving older people’s mental health – UK – Audit Commission – 2009

“Mental health trusts increasingly need to gain a better understanding of the operational and financial performance of their individual services. Our new suite of older people’s mental health tools will help you to better analyse and develop your services in line with the 2009 National Dementia Strategy.

  • Provides valuable comparative management information about the operational and financial performance of older people’s mental health services.
  • Provides baseline information on GPs’ views on managing dementia locally.
  • Helps you develop cost effective services in partnership with PCTs.
  • Supports robust cost improvement plans and performance frameworks.
  • Highlights the impact of changes to service delivery. “

 

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A guide to finance for hospital doctors (UK) – 9 July 2009

Posted on July 9, 2009. Filed under: Health Economics, Medicine | Tags: , |

A guide to finance for hospital doctors (UK)  Released  09 July 2009

Summary

“The Audit Commission and the Academy of Medical Royal Colleges have jointly published a short, practical manual that aims to help hospital doctors to get to grips with the way the money works in the health service. By understanding how the money flows and some of the principles of financial management in the NHS, hospital doctors will be well equipped to deliver better patient care.

The guide is aimed at medical students and doctors in the early stages of their training.

The guide was produced following the Audit Commission report, A prescription for partnership, published in December 2007, which clearly illustrated the benefits to patients, clinicians and the NHS as a whole when doctors are fully engaged in the finances of the hospitals in which they work.

A joint statement on clinicians and finance was also published in February 2009 by the Audit Commission and the Academy of Medical Royal Colleges, along with the Royal College of Nursing, the NHS Institute for Improvement and Innovation, the Healthcare Financial Management Association and the Department of Health.

You can watch a video of Andy McKeon, the Audit Commission’s Managing Director for Health, and Professor Dame Carol Black discussing the guide and the importance of clinical engagement in financial management.”

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National Benchmarker re-released with exclusive HRG4 data – UK Audit Commission – 29 June 2009

Posted on July 1, 2009. Filed under: Health Mgmt Policy Planning | Tags: , |

National Benchmarker re-released with exclusive HRG4 data – UK Audit Commission – 29 June 2009

“The Audit Commission, supported by the NHS Information Centre, has released a brand new set of benchmarking data to assist the NHS with the introduction of healthcare resource group (HRG) 4.

As well as updating the existing indicators, we’ve also developed some brand new HRG4-specific indicators. This national retrospective analysis is only available from the Commission’s National Benchmarker and is not accessible anywhere else in the NHS.

Whether you are in a PCT, trust, hospital department or, indeed, are an individual clinician, the National Benchmarker compares acute hospital activity data, clinical coding and PbR related data with other organisations to flag up questions for concern, or for discussions about matters such as healthcare management, payments or data collection. It covers both inpatient and outpatient data, and is based on over 50 separate data quality indicators.

The tool is intuitive and easy to use with technical and non-technical views giving you user-friendly reporting. Recent improvements in the functionality of the tool allow you to target areas of specific interest such as efficiency and productivity.

A new user guide and a revised tutorial video demonstrating how to use the tool have been published. Case studies have also been developed highlighting the benefits of the tool for commissioners and providers.”

National Benchmarker for the NHS leaflet

National Benchmarker user guide
“This user guide has been designed as a landscape document to be printed off double-sided. The majority of this user guide consists of screenshots marked up with numbered arrows, and these arrows relate to descriptive text on the page preceding the screenshot. Printing this document off double-sided and stapling across the length-ways spine as shown will allow you to view the text and the screenshot together.”

PbR National Benchmarker Tutorial

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