Guest Editorial September 2010

Dr Rosanna HuntSeptember's guest editorial was written by Dr Rosanna Hunt, Associate at the NHS Institute, who presented on the topic of Return on investment from improvement initiatives, during the Expert on Call from 4-5pm on 21st October 2010. Follow this link to find the recording of the session.


Return on Investment from Improvement Initiatives

Rosanna Hunt has a solid background in evaluating improvement initiatives in Healthcare in the UK and Australia and a Doctorate in Learning Motivation Theory. In a previous role at the NHS Institute, she developed and implemented a methodology for calculating ROI, working with various teams leading care pathway improvement work across the NHS to produce impact assessments of NHS Institute products.

Previously, as Commercial Manager, she designed and facilitated learning days for teams to develop good commercial practice such as writing business cases, evaluating and monitoring the financial impact of services and products.

She is currently leading on a Rapid Impact Assessment of Productive Ward as part of a National QIPP workstream, which aims to identify the expected ROI from this initiative across the acute sector in England from the present to March 2014.

The current context:

It has never been more important to be able to identify the savings that are possible by improving working processes and patient care across the NHS. The current fiscal challenge will be addressed by driving improvements in Quality, Innovation, Productivity and Prevention (QIPP) in order to balance the projected shortfall of £15-20 Billion. Whilst a large chunk of this financial gap is “productivity” related (i.e. we need to respond to an increasing demand, with no concurrent increase in resource), it is clear also that releasing some “cash” from the system is an imminent goal.

Questions you might wonder about:

  • I know that our work is having an impact but how do I demonstrate to others that it is worth the continued investment?
  • We have a whole plethora of improvement initiatives underway, how do we mitigate against the risks of double counting in our ROI analyses?
  • There are so many measures I could include, how do I choose the right ones?
  • What do I do with the important quality outcomes that just do not have a financial benefit associated with them?
  • Where can I go to for information and support?

In addition to providing some responses to these key questions, this Webinar will look at how the use of National sources of NHS patient outcomes data (via, for example, HES, the CQC National Survey of Patient Experience, Iview, NHS Comparators, BCBV indicators etc.) can be used to triangulate with local evidence (such as falls reductions, increased direct care time) to provide a more robust and persuasive ROI analysis.

What will I learn?

  • A process for working towards a robust and reliable ROI analysis
  • A checklist to help you avoid potential pitfalls
  • Examples of “cash” releasing vs. “productivity” benefits in the acute sector
  • Sources of information, tools and support