empty

Variations in care and costs must be cut

Huge variations in standards of care and expenditure that exist across the health service are unwarranted and need to be reduced, the national director of NHS England’s RightCare programme told a recent RPS/King’s Fund event.

Matthew Cripps, a former NHS finance director, said that optimal healthcare could be achieved at a lower cost by “doing things in the way we know it is best to do them”, and would also drive sustainability of the NHS. This doesn’t involve loads of effort or new activity but is about CCGs questioning why they were at the bottom of league tables in certain areas of healthcare and deciding to do better.

Instead of accepting and defending the notion that, for example, diabetes outcomes were bad because of a high incidence in the area, it should be viewed as an opportunity to do something that will have a greater impact, he said.

“We need to close the perception gap which pervades the NHS and drives low value,” he argued. Professor Cripps described how there was a 2.5-fold variation in antibiotic prescribing for respiratory tract infections across England, yet in Derbyshire, which had been one of the worst areas, cephalosporin and quinolone prescribing rates had been slashed simply by implementing a feedback loop between GP practices and community pharmacies.

NHS RightCare aims to maximise value from healthcare for both patients and the population as a whole, by ensuring its approach becomes embedded in commissioning and public health agendas throughout the NHS. More information can be found here.

Recommended

Electronic prescriptions to go England-wide from November

Export ban for four more medicines




This website is for healthcare professionals, people who work in pharmacy and pharmacy students. By clicking into any content, you confirm this describes you and that you agree to Pharmacy Magazine's Terms of Use and Privacy Policy.

We use essential, performance, functional and advertising cookies to give you a better web experience. Find out how to manage these cookies here. We also use Interest Based Advertising Cookies to display relevant advertisements on this and other websites based on your viewing behaviour. By clicking "Accept" you agree to the use of these Cookies and our Cookie Policy.