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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