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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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Virtual Fracture Clinic

Case study arrowBrighton 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 hospital appointments and saving more than half a million pounds in two years.

The clinic has meant patients who were treated in A&E with a broken bone no longer have to come to hospital for face-to-face assessment. The project was developed as a way of improving patient care but it has also had the added benefit of reducing costs.

Impact so far

  • Since launching in 2013, the clinic has managed over 8,500 patients, with specialist physiotherapists assessing X-rays online to make a decision on the next steps of care and the clinic has also saved £558,000.
  • Over a one year period, just 36% of patients referred to the virtual fracture clinic needed a follow up appointment with a consultant and six per cent needed a specialist physiotherapist.
  • The basic cost of a new patient attending the fracture clinic is about £128 but the cost for a virtual clinic is just £64.

Next steps

  • Complete six month mentoring programme through NHSE and 3M, including review of deliverables and the new mentoring programme.
  • Complete roll out of the Virtual Fracture Clinic model to St Richards Hospital, Chichester and develop an accessible ‘how to’ toolkit to support the 32+ Trusts that have expressed interest in adoption of this model. 
  • Complete work with Microsoft on a ‘plug and play’ platform.
  • Presenting at Expo 2016 and exploring the NIA programme to help support wider adoption.

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Contact Name Lucy Cassidy, Brighton and Sussex University Hospital NHS Trust Email address lucy.cassidy@bsuh.nhs.uk

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