NHSScotland Efficiency and Productivity: Framework for SR10

The Framework’s main purpose is to identify priority areas to improve quality and efficiency. The Framework is a companion to the Quality Strategy and provides a baseline for the changes that will need to be undertaken by the Scottish Government Health Directorates (SGHD), NHS Boards and other public sector organisations.


Annex 1: Potential Productive Opportunities

Workstream

Priority Areas for Initial Focus

Impact

Evidence Based Care

Disinvestment, Patient Safety

MEDIUM

Preventative and Early Intervention

GIRFEC, Falls

HIGH

Outpatients, Primary and Community Care

Reducing unwarranted demand on outpatients inc. orthopaedics and dental.

Decreasing unnecessary admissions to hospital, RTC in Community

HIGH

Acute Services Flow and Capacity Management

Enhanced Recovery, Emergency Ambulatory Care

HIGH

Workforce Productivity

Locum, agency, on-call, bank costs, management reduction

HIGH

Prescribing, Procurement, Shared/Support Services

Primary care prescribing as part of QOF, good practice from WoS Prescribing Group for acute, NSS Shared/support services Programme

HIGH

Service Redesign, Transformation, Innovation

Whole Systems Approach on cancer and orthopaedics, Enabling Technology

HIGH

Potential Productive Opportunity (national estimate)

Low/Short-Term up to £50m

Medium/Medium-Term £50m to £100m

High/Long Term Greater than £100m

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