QIPP – Sip feedsWaltham Forest PCT
Summary
Spend and potential savings Plan implemented in WF Barriers Progress so far
Savings for east of England
Trend in spending on ONS in WF
2005/6 2006/7 2007/8 2008/9 2009/10 Total
ONS Spend £ % Increase
294,764 341,041(16%)
362,892 (6%)
443,022 (22%)
532,005 (20%)
1,973,723(64%)
ONS expenditure in WFPotential ONS Expenditure in Waltham Forest to 2014
£0
£200,000
£400,000
£600,000
£800,000
£1,000,000
£1,200,000
2005/6 2006/7 2007/8 2008/9 2009/10 2010/11 2011/12 2012/13 2013/14
Year
Exp
end
itu
re £
Current Trend
London Average
Potential Savings
Savings in Waltham Forest
Reduce inappropriate prescribing ONS policy Scriptswitch Increase GP awareness (newsletter & meetings)
Complan switch First line where apporpriate Starter packs Educate care homes
PoA Alter policy to promote Complan before other
nutritional on hospital discharge and in community
Scriptswitch messages Complan starter packs in hospital Dietician to review all patients discharged from
hospital on ONS if not referred while in hospital Audit current practice Dietician to review patients Recommendations to GP GP informs own practice Better referral levels to dieticians in future
Barriers
GP – relationship with PSPs, defensive of current practice
Access to practices – time and computer facilities
Need for dietician to carry out reviews Insufficient medicines management team
support to carry out audit
Audit
Top ten spending practices in WF Patient ID & age, recent BMI, indication, sip
feed prescribed and duration, goals recorded, food first advice given, involvement of dietician
Contact details of patients for dietician Confidential treatment of information
Dietician support
Dietician seconded for a year Sits with dieticians but under MMT Reviews by telephone, face-to-face or at a
clinic Recommendations to GP Patient and MMT copied into communications Weekly excel progress update
Progress so far
Early days but encouraging Discontinued or switched Informs other dieticians to be vigilant and
use Complan first-line Appointments with patients set-up initially
Potential for savings across east of England
PCT 2009 SpendSavings using Complan Shake
Suffolk £753,664 £401,040Norfolk £734,238 £390,957Cambridgeshire £719,621 £384,756West Hertfordshire £701,356 £363,687East and North Hertfordshire £651,934 £338,606South West Essex £512,532 £270,752North East Essex £506,843 £261,996Bedfordshire £495,700 £235,441South East Essex £471,104 £244,867West Essex £375,590 £200,132Luton Teaching £329,341 £173,415Mid Essex £317,738 £164,999Great Yarmouth and Waveney £271,461 £144,682Peterborough £225,225 £119,539 TOTALS £7,066,347 £3,694,869
Thank you for your time