Doctors suggest ways to save the NHS £20bnBMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c7239 (Published 16 December 2010) Cite this as: BMJ 2010;341:c7239
- Matthew Limb
Leading clinicians have pooled their thoughts on how the NHS can start to save billions of pounds.
Their ideas, some of them controversial, are set out in a report published by the NHS Confederation on 15 December to help the government deliver £20bn (€23.4bn; $31.7bn) efficiency savings.
Top neurosurgeons say the rules that mean costly surgical instruments are used just once to avert Creutzfeldt-Jakob disease (CJD) infections are not justified by evidence and should be scrapped.
They also question whether spinal implants, costing up to £10 000 are “necessary at all” and claim the European Working Time Directive is a “major cause of waste and chaotic practices” restricting consultants’ availability for daytime work.
Other remedies proposed by clinicians that could apply to the NHS as a whole include: cutting out unnecessary procedures; reducing variations in practice; discharging patients more quickly from hospital care; more effective referrals to specialists from GPs; more efficient use of operating theatres; and best practice use of multidisciplinary …