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Latest results from our schemes across England

Audited evidence for CHS schemes reducing delayed transfers of care (DTOC)

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We are widely recognised for the quality of our reporting. We report time from referral to first contact, time from referral to home chosen and time from referral to hospital discharge. In a number of hospitals where we work, we have a baseline figure of time taken from fit for discharge to discharge taking place before our service commenced. By comparing this with our performance, we can calculate the actual number of hospital bed days we save.

Days spent in hospital from fit for discharge to actual hospital discharge

Graph showing Days spent in hospital from fit for discharge to actual hospital discharge


The following calculations for the financial impact of DTOC have been made on the basis that providing an acute hospital bed costs an average of £303 per day (figure from NHS England).

DUDLEY GROUP OF HOSPITALS

MEASURING PERIOD

OCT 2013–JAN 2014

BED DAYS SAVED

995

RESULTING SAVINGS

£301,485

NORTH BRISTOL INFIRMARY

MEASURING PERIOD

JAN–APR 2015

BED DAYS SAVED

853

RESULTING SAVINGS

£258,459

STAFFORD HOSPITAL

MEASURING PERIOD

JAN–AUG 2015

BED DAYS SAVED

1,796

RESULTING SAVINGS

£544,188

Continuing Healthcare Services

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A quarter of a million pounds saved for each CCG commissioning our continuing healthcare services by managing and scrutinising the invoices from providers

  • CCG on the south coast of England, scheme starting in October 2012. In one year, we saved £231,090.
  • CCG in north London, between July 2013 and May 2014, we saved £287,706.
  • CCG in west London, between July 2013 and May 2014, we saved £235,454.
  • We consistently achieve savings totalling 5 per cent of CCG's domiciliary care budget during the first year of invoice management and scrutiny. This typically amounts to savings of a quarter of a million pounds for each CCG.

How do we achieve this?

Susan Adams, Manager of CHS Healthcare in London and the south, commented: "When we scrutinise invoices from care homes, we often find duplication, arising for example if a client has moved between FNC and CHC and invoices are raised for both. We scrutinise domiciliary care very closely by having weekly updates. This is important because care actually delivered can be different to levels originally commissioned and without these checks, providers tend to invoice at the original rate."

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