Savings per identified scheme
| Scheme | Financial measure | Reduced expenditure | Increased income (net of cost) | Observed quality impact |
| Plastic surgery | Increased productivity (ie, increase income without cost), by converting in patient activity to day case, reduce time in theatre and length of stay. All these measurers lead to increased capacity. | £750 000 | Quality improvement initiative improving patient safety and clinical effectiveness, reducing time in theatre and length of stay. | |
| Orthotics | Reduce cases of foot ulcers to avoid fines (reduced income to the trust). Also reduced footwear costs prescribed in orthotics. | £90 000 | £55 000 | Heel ulcer project improved clinical effectiveness and patient experience. |
| Waste management | Departmental cost reduction by improved segregation and management of waste. | £96 000 | No quality impact assessment required | |
| Medicine | Increased income through earned CQUIN (quality) payment | £1 300 000 | This project was an enabler to measure quality improvements and no quality impact assessment was required. | |
| Transitional care | Increase in income earned following improvements to record keeping, ensuring correct tariff charged | £1 668 000 | This project was an enabler to measure improvements and no quality impact assessment was required. | |
| Paediatric diabetes | Increase in income earned from ‘best practice tariff’ after deducting investments required to achieve tariff (ensuring service became financially sustainable) | £879 200 | Initiative to improve patient safety, clinical effectiveness and patient experience in the care of diabetes patients. | |
| Theatres | Increased income earned from theatre lists through a ‘Start on time project’ supported by analysis of additional volume of patients treated. | £2 419 000 | Quality impact assessments prepared to provide assurance that productivity did not lead to increased incidents. | |
| Critical care | To increase income by improved process for elective bookings for spinal surgery | £1 200 000 | Project improved clinical effectiveness and patient experience through enhanced communication across teams. | |
| Pharmacy | To reduce medicines expenditure and increase commercial income | £248 000 | £57 400 | Procurement and enabling projects, with no quality impact assessment required. |
| Therapies | To increase productivity of the therapists and reduce length of stay and escalation beds costs. | £412 000 | Project enabled monitoring improvements which lead to reduced lengths of stay for stroke and rehabilitation patients. | |
| Finance | To make saving on staff and implement service line reporting | £204 000 | No quality impact assessment required | |
| Total | £1 050 000 | £8 328 600 |