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Case Studies


The Innovation Case Studies section provides a comprehensive list of exemplar innovation projects from across the NHS. These innovations have been carefully selected to represent a range of ideas from medical technologies through to service and pathway re design. Each case study provides a background to the innovation and a contact for further information.

 Click on the Case Study Browse area on the right to find examples by clinical area.

If you have an innovation case study you would like us to publish on the portal please contact the Innovation team at england.innovation@nhs.net

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June 2016 Case Studies

Case Studies for June 2016 now available, click here to download

Virtual Fracture Clinic

Brighton and Sussex University Hospitals NHS Trust's innovative virtual fracture clinic is proving a big success - cutting the number of times injured patients have had to come in for...


Atrial Fibrillation is the most common heart rhythm disturbance in the UK and Ireland: it affects around 2 million people each year and is responsible for one third of all strokes. AF and...

Refer-to-Pharmacy: get the best from your medicines and stay healthy at home

Refer-to-Pharmacy allows the hospital pharmacy team to refer eligible patients to their regular community pharmacy for post-discharge support with their medicines. There was...

'Flo' Telehealth

Over 15 million people in the UK live with a long term condition (LTC) and 'Flo' offers a simple way to increase self-management, resulting in fewer visits to GPs, a reduction in hospital...

'Activ8rlives' self care

The NHS spends around £4.7 billion annually on treating lung disease. Hospital admissions are disruptive, particularly for older patients who can lose independence during a hospital stay. ...

STarT Back - stratifed care for low back pain

Back pain is the commonest reason for middle-aged people to visit their GP, representing an estimated annual cost to the NHS of £10 billion. It is the second most common reason...

Point of care CRP testing for respiratory infections in primary care

Historically, antibiotics have been prescribed for many patients with an acute uncomplicated respiratory tract infection (a cough). Evidence from studies suggests minimal...

Breathe Magic Intensive Therapy programme

Hemiplegia (paralysis of one side of the body) affects approximately 1 in 1000 people but many of the traditional treatments fail to engage young people sufficiently. Research...

Harnessing digital technology FARSITE - rapid searching web application

Greater Manchester AHSN and the Greater Manchester Clinical Research Network (GMCRN) are accelerating health innovation through helping researchers and clinicians improve the way data is...
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Improving the Quality and Safety of general practice

Case study arrowAn intervention to support General Practice populations where the future of the practice is uncertain and there are ongoing concerns regarding quality of care for patients.

The intervention is led by the medical team within NHS England local office. A Multi-Disciplinary Team (MDT) consisting of GP, contract manager and performance staff with supplementation of expertise as required (CCG medicines management team, lead nurse etc.) accepts referrals from the Performance Screening Group where there are uncertainties regarding a practices future and there are ongoing concerns regarding continuity of care and patient safety. The MDT visit and review the practices systems and processes to identify any issues of concern regarding patient safety. The practice and MDT to agree a remediation plan which is then monitored in-terms of completion of all actions. Time limited support to address any areas of concern regarding patient safety are agreed between the practice, CCG & NHS England.

Where the support required is not available within the CCG or NHS England, or can be accessed by the practice, a support package may be commissioned by NHS England local office to address a specific concern.

Practice systems and processes (lack of) meant that gaps/ concerns were identified in:

  • Prescribing reviews
  • Long Term Condition registers
  • Long Term Condition reviews

The main need for additional support into practices following MDT review was for pharmacy support to conduct medication reviews. The overriding clinical need has been to ensure that continuity of care is maintained as a practices face closure and patients transition to a new primary care provider.

The scope of the RIF was extremely limited given the timeframe (3 months) and scale of funding:

  • 4 practices were referred by PSG and received MDT visits. Gaps in continuity of care arising from these visits resulted in additional support being put into the practices over and above what would routinely be provided via remediation. Learning from the project has informed the local approach to supporting the clinical care for patients of a ‘failing’ practice. E.g. unintended consequences of robust management of contracts and performance concerns were identified and an approach to addressing these developed plans under NHS England Performer’s List or CCG support packages.
  • Process outcomes regarding: Convening of MDT; Use of standard assessment & reporting tool; Recovery plans put in place following MDT visits were all fully met.
  • Feedback from practices and partners has been positive.

Award Value: £45,000

Funding source Logo


Contact Name Nicola Allen Email address Nicola.allen7@nhs.net

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