A requirement to identify cashable savings of £400,000

1. Efficiencies or Cost Effective ? (Case Study) Applying OBA principles in a climate of severe financial pressure for the public sector Driver A requirement to identify cashable savings of £400,000 0-8yrs attending A&E for Minor Illnesses and Injuries Reduction in attendance at A&E and admission to the wards for minor illnesses and injuries Population Steady rise over last five years of attendance at A&E Many attendances viewed as inappropriate Lack of confidence in parent/ carers to manage minor illnesses /injuries Co-location of health visitors to Children Centres GP’s high referral rates to A&E Medical scares Attendance and ward admission tariffs / 4Hr waiting targets 60%+ same day discharge for minor illnesses /injuries The Story Desk top analysis of data sources GP referrals : HV activity: Reasons for attendance at A&E: Integrated teams skills and activities :cost analysis on activity Data Sources Triage based on existing model operating for adults Re configuring Heath Visitor activity to release capacity to develop and implement community minor illnesses injuries strategy Releasing monies by Identifying saving from activities without an evidence base : Of the wall idea . What Works Outcomes/ result Potential cashable savings of £390,000 :Reduction in inappropriate attendance at A&E : Building capacity in the community : parents/carers more confident in dealing with minor illnesses and injuries: contribution to children's emotional well-being : Strengthening collaborative working