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The NHS is facing a massive financial challenge. The national NHS savings requirement has been calculated as £22bn, to be delivered by 2020/21.
By 2016/17 both NHS Bradford City and NHS Bradford Districts clinical commissioning groups (CCGs) need to make efficiency savings of £13m. In Bradford City CCG, this gap is around £2.6m and in Bradford Districts CCG is £10.4m.
The national Quality, Innovation, Productivity and Prevention (QIPP) programme is a response to the financial challenge. The programme is all about making sure that each pound spent brings maximum benefit and quality of care to patients.
Both CCGs have an extremely strong record of financial management. However, there is ever increasing demand for services locally and we will need to make some tough decisions so that we can transform services in the future. We are looking at how we can innovate, be more productive, prevent NHS resources being used inappropriately and ensure services are still of the highest quality.
We will be open about these difficult decisions. Many of our proposed QIPP projects are unlikely to have significant impact on any particular groups of patients. But, where it does involve the potential redesign of a service or pathway, we will engage fully with local people and our stakeholders. We will also be working closely with our People’s Board who will sense-checking our plans and bring a patient’s perspective to proposed changes.
We are currently drawing up plans for a range of schemes including:
- reducing medicine waste, particularly through a review of repeat prescribing systems and processes and increasing patients’ and professionals’ awareness of the effects of such waste
- working with patients and others to review their journey through the NHS to make sure that it is as clinically effective and patient-friendly as possible
- creating new ways of reducing unnecessary duplication of services and/or tests
- reviewing the prescribing of gluten-free foods
- ensuring the most cost effective drugs are prescribed, where appropriate
- where possible, expanding successful pilot schemes, such as the mental health wellbeing service
- using IT to help GPs with the appropriate referral of patients.
Further details about each scheme will be shared publically as the QIPP programme takes shape locally.