Hospital productivity programme

Make sure our hospitals run as efficiently and effectively as possible to make the best use of NHS expertise, drive out waste, drive up quality and free up more resources for front line services.

What we have achieved so far:

  • worked with clinical teams and bought surgery equipment together which has standardised the use of trauma surgery kits, improved safety and reduced costs
  • reduced the costs of agency staff and have reduced the agency staff  bill by £69m
  • evaluated changes to our children’s service and found that the changes were made safely and all children now have improved access to specialist nursing staff and children’s consultants.

We will continue to:

  • standardise the approach to treating muscle, bone, joint and soft tissue  (muscular skeletal – or MSK) conditions
  • encourage all NW London’s hospitals to use their joint spending power effectively every time they buy goods and services
  • get maximum value from our staffing budget by driving down use and cost of temporary staff
  • make sure people get the right outpatient advice first time with most convenient type of appointment.

It is better for people because:

  • patients will be up on their feet and home quicker after surgery
  • spending NHS budgets more effectively means more money available for frontline services
  • they will have faster access to expert opinion when they need it
  • they won’t waste time on unnecessary trips to hospital

It is better for the health and care system because:

  • buying smarter improves quality and drives down cost – having  a single supplier for nails, screws and plates for trauma surgery will save £1m in 2017/18
  • using standard kit will reduce training time for doctors, and remove risk caused by using unfamiliar equipment
  • buying in volume means better value for money
  • more effective staffing will reduce costs and drive up quality
  • an improved and consistent approach to outpatients referrals will make best use of expert opinion and resources.

Key facts:

  • in 2015, the NHS spent £10bn treating MSK problems
  • the NHS in NW London spends around £2bn every year on goods and services, including £20m on gas and electricity
  • NHS hospital trusts spend around £2.3bn a year on permanent staff, £185m on in-house ‘bank’ staff and £193m on agency staff  - spending on agency staff was cut by a quarter in 2016/17
  • there are over 300,000 outpatient appointments every day across the NHS in England and patients do not show up for around one in five appointments.  in England’s NHS

Expected outcomes:

  • more rapid access to specialist opinion
  • efficiency gains from working more closely together and doing things the same way
  • stop another £30m this year being spent on staff from private agencies, including £4m on locum doctors
  • patient and GP outpatient experience will be improved, thank to rapid access to specialist input at the start.