Streamlining Decommissioning Procedures for Better Healthcare Efficiency

1. Decommissioning procedures with limited clinical benefit • % De-commissioned • HRG • Description • Core • Aggr. • Elective Procedures • C58 • M07 • J05 • M03 • R03 • B13 • M05 • A07 • H13 • F74 • H04 • Q11 • H17 • J37 • J36 • C58 • C55 • J37 • F74 • J35 • C56 • Intermediate Mouth or Throat Procedures • Upper Genital Tract Major Procedures • Intermediate Breast Surgery w/o cc • Lower Genital Tract Major Procedures • Decompression and Effusion for Degenerative Spinal Disorders • Phakoemulsification Cataract Extraction and Insertion of Lens • Upper Genital Tract Minor Procedures • Intermediate Pain Procedures • Hand Procedures - Category 1 • Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc • Primary Knee Replacement • Varicose Vein Procedures • Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc • Minor Skin Procedures - Category 1 w/o cc • Minor Skin Procedures - Category 1 w cc • Intermediate Mouth or Throat Procedures • Minor Ear Procedures • Minor Skin Procedures - Category 1 w/o cc • Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc • Minor Skin Procedures - Category 2 w/o cc • Minor Nose Procedures • 10% • 21% • 13% • 15% • 14% • 15% • 1% • 6% • 15% • 29% • 22% • 48% • 4% • 23% • 23% • 10% • 25% • 17% • 29% • 17% • 8% • 10% • 21% • 13% • 15% • 14% • 20% • 1% • 8% • 20% • 39% • 29% • 64% • 5% • 23% • 23% • 10% • 25% • 17% • 29% • 17% • 8% • Outpatients • Reduction of first apt. numbers and of follow-up to first apt. ratio • 20% • 30% • A&E • 5% • 10% • Proportion of A&E that could be dealt with through self care SOURCE: Affordability model