Burdett: Building nursing leadership capability in economic assessment: a supported learning opportunity

The RCN is working with the Office for Public Management to build nursing capability in economic assessment.  Details of the Burdett funded programme and an application form can be found here www.rcn.org.uk/economicassessment

The programme is ideally suited to specialist and advanced practitioners as it empowers them to push back to decision makers who speak only in financial terms.  The programme takes a whole systems approach and has attracted specialist nurses at all levels and empowered them to demonstrate their impact and continue to transform services.….

There a are a number of case studies here. See for example Jill Nicholls under Chest Heart and Stroke (1),  Lindsay Semple under Intravenous Therapy (1), Lee Cowie under Mental Health (3) Rhonda Reilly, under Renal and Gastrointestinal care (3),

Jill Nicholls was one of three CNS’s providing a nurse-led service for patients diagnosed with heart failure. The service had been running for 10 years, it had never been formally reviewed over that time however the workload was ever increasing.

By undertaking this programme Jill was able to demonstrate the value of her service.  Jill knew there were clinical benefits but by applying the principles of economic assessment laid down by HM Treasury, Jill was able to show economic benefits for NHS Tayside and the wider economy. In the process Jill uncovered that approx 40% of patients who could benefit from her service were not being referred. Armed with this evidence Jill and her DNS have explore how the rehabilitation and palliative care needs of all patients diagnosed with heart failure in NHS Tayside can be addressed more effectively and efficiently.

In Northern Ireland Rhonda Reilly has compared the costs and benefits of her one stop comprehensive continence service for children and young people with routine service provision and has developed a compelling case study demonstrating the value of her service. With this robust evidence, Rhonda and her colleagues are working to increase their established to extend the reach of the service.

Over  10 years ago, Consultant nurse Lee Cowie set up a community based intensive therapy CAMHS. Despite having strong clinical evidence that community cased care was better for children and young people, as budgets were under constant scrutiny, Lee wanted to augment his case with economic evidence. Lee calculated the costs of running the in-patient service that was closed 10 years ago ‘in today’s money’ and compared that with the costs of his service.  He also looked at the costs and wider implications of two alternative scenarios if his service was discontinued.  The evidence of the whole system value of a community based service was comprehensively demonstrated.  Lee is using this evidence to promote and support community based intensive therapy services for children and young people across Scotland and further afield.

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