Hospital trusts could save “real money” as a knock-on effect of meeting new tariff standards for hip fracture surgery, according to a leading clinician.
The national hip fracture database report for 2009-10, published today, reveals trusts could miss out on hundreds of thousands of pounds of income because their hip fracture surgery care does not meet new payment by results standards.
What will happen is that if you aim to make the extra £445… you will also take a couple of days off the patient’s stay in hospital, and then you’ll be saving real money
However, the report’s author told HSJ trusts could be missing out on significant savings.
The conventional tariff for hip fracture surgery under payment by results was cut by £110 this year, with an extra £445 being paid for each patient who meets the criteria for the new “best practice” element of the tariff for the surgery
The six best practice criteria include starting surgery within 36 hours of admission, and providing fracture prevention assessment for falls and for bone health.
The first payments made under the new standards will be triggered later this month.
The British Geriatrics Society has estimated an “average” hospital unit could earn an extra £140,000 a year if 90 per cent of their hip patients were treated in line with the criteria.
Report author Colin Currie, senior clinical lecturer in geriatric medicine at Edinburgh University, estimated the best practice element was around 5 per cent of the actual cost of hip fracture treatment.
Dr Currie said: “What will happen is that if you aim to make the extra £445… you will also take a couple of days off the patient’s stay in hospital, and then you’ll be saving real money” .
The report - which includes Wales, Northern Ireland, and the Channel Islands - said that overall hip fracture patients were receiving better access to specialist care by geriatricians, osteoporosis screening and falls assessment than in 2009.
- Acute care
- MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST
- MID ESSEX HOSPITAL SERVICES NHS TRUST
- NORTH CUMBRIA ACUTE HOSPITALS NHS TRUST
- NORTH HAMPSHIRE HOSPITALS NHS TRUST
- Payment by results (PbR)
- QUEEN MARY'S SIDCUP NHS TRUST
- SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST
- WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST