The awards recognise and celebrate the excellent use of resources to improve outcomes in NHS back office functions and clinical departments.

Shortlisted organisations have demonstrated they deliver improved value and efficiency and have been judged to be pioneers in this increasingly important area as the health service copes with both increased demand and constrained funding.

HSJ editor Alastair McLellan said: “Eight years after the NHS had to begin focusing on efficiency as funding tightened all the easy options have long since disappeared. The finalists of this year’s HSJ Value Awards have been successful in the most difficult of tasks, finding ways to improve value for money through cutting edge innovation that protects and sometimes even enhances patient experience, safety and outcomes.”

The final round of judging starts on 4 April. The winners will be announced at a ceremony in Manchester on 7 June.

HSJ Value in Healthcare Awards 2018 shortlist:

Acute service redesign

• Brighton and Sussex University Hospitals Trust, Single Clerking at BSUH: Redesigning the Acute Floor
• County Durham and Darlington Clinical Commissioners and County Durham and Darlington Foundation Trust, Ophthalmology
• Gloucestershire Hospitals Foundation Trust, Get it Right First Time- Reconfiguration of Trauma and Orthopaedic Services
• Kettering General Hospital Foundation Trust, Ambulatory Management of Pneumothorax
• Macmillan Cancer Improvement Partnership, Macmillan Cancer Improvement Partnership Programme Success
• Mid Cheshire Hospitals Foundation Trust, Virtual Fracture Clinic
• Norfolk and Norwich University Hospitals Foundation Trust
• Plymouth Hospitals Trust, Developing and providing an acute neurology service. A 10 year quality improvement programme
• Sandwell and West Birmingham Hospitals Trust, Future Hospitals’ Project - Redesign Respiratory programme
• Southern Health and Social Care Trust, Re-Design of Lung Function Lab Appointments
• University Hospitals of North Midlands Trust, Adult Critical Care Unit - A Transformation Program
• University Hospitals of North Midlands Trust, Mechanical Thrombectomy in Stroke – Produces Improved Clinical Outcomes and Cost Benefits

Clinical support services

• Access Health Care, CareSnap Wound Management
• Central and North West London Foundation Trust, CNWL ‘Stop the Pressure’ Project: Reducing Pressure Ulcers in Care Homes
• Donor Records Department, Organ Donation and Transplantation Directorate, NHS Blood and Transplant, NHS Organ Donation and Transplantation Administrative Service Review Project
• Pennine Acute Hospital Trust Crisis Response Service and North West Ambulance Service, Pennine Acute Hospital Trust Crisis Response Service and North West Ambulance Service Amber Pathway.
• Royal Devon and Exeter Foundation Trust, Cook and Eat Exeter: Carbohydrate counting in real life
• Southern Health and Social Services, Speech and Language Therapy Group Interventions for Pre-School Client Group
• The Rotherham Foundation Trust and Rotherham Clinical Commissioning Group, Rotherham Dietetic Led Nutritional Prescribing-10yrs of improved patient care and saving of £5,689,700
• The Rotherham Foundation Trust, Occupational Therapy in Single Point of Access
• University Hospitals of Leicester Trust, TTO Process Improvement Project
• University Hospitals of North Midlands Trust, Cardiac Rehabilitation at the Heart of Patient Success
• Whittington Health Trust, Improving the pharmacy outpatient service through design

Communication

• Devon Partnership Trust, Creating an innovative NHS website with patients and for patients
• Dorset HealthCare University Foundation Trust, Dorset HealthCare ‘Make a move, make a difference’ campaign
• Gloucestershire Hospitals Foundation Trust, A communication strategy to create an Improvement Movement in an Acute Hospital Trust
• LazenbyBrown, Health Education England – e-Learning for Healthcare Awareness Campaign
• Mersey Care Foundation Trust, Staff Engagement Sessions - No Force First.
• North East and North Cumbria Urgent and Emergency Care Network, NHS Child Health app
• South Sefton Clinical Commissioning Group and Southport and Formby Clinical Commissioning Group, Communicating the repeat prescription ordering scheme
• Southern Health and Social Care Trust, Visiting Campaign
• Sussex Partnership Foundation Trust, ‘Not just a job’ mental health nurse recruitment campaign

Community health service redesign

• Cornwall Partnership Foundation Trust, Relieving the Pressure
• Croydon GP Collaborative, Primary Care MSK Pilot
• Pennine Care Foundation Trust, Children’s Acute and Ongoing Needs Service, Heywood, Middleton and Rochdale
• Staffordshire and Stoke on Trent Partnership Trust, The development of a District Nursing Caseload Review Tool
• Swindon Borough Council and Great Western Hospital Foundation Trust, Reablement and Fessey House
• The Hillingdon Hospital Foundation Trust - Hillingdon Children’s Asthma Team, Hillingdon Children’s Asthma Service
• West Hampshire Clinical Commissioning Group, Listening to patients and improving access to audiology
• Whittington Health Trust, eCommunity

Emergency, urgent and trauma care

• Barts Health Trust, London’s Air Ambulance & London Ambulance Service Trust, The Physician Response Unit: ‘Taking the Emergency Department to the Patient’
• Birmingham and Solihull Clinical Commissioning Groups, Supporting High Volume Users Across Birmingham and Solihull
• Lincolnshire Community Health Service Trust, Lincolnshire Clinical Assessment Service
• London Ambulance Service Trust, Advanced Paramedic Practitioners in Urgent Care
• Luton Clinical Commissioning Group in partnership with Consultant Connect, How we avoided 5,900 A&E attendances over 2 years
• North West Utilisation Management (part of Health Innovation Manchester), ‘100% Challenges’ drive clinical service uplifts
• Tameside and Glossop Integrated Care Foundation Trust and Tameside Metropolitan Borough Council, Tameside and Glossop Home First – Embedding and supporting Home First through the Integrated Urgent Care Team (IUCT)
• Taunton and Somerset Foundation Trust, Musgrove Park Hospital’s Integrated Front Door
• University Hospitals Bristol Foundation Trust, UHBristol Emergency Department High Impact User Team
• University Hospitals of North Midlands Trust, Review of employing medical students as medical assistants in A&E
• Western Sussex Hospitals Foundation Trust, Right care, right place – getting both right for critically ill patients

Enhancing value through increasing patient safety and reducing litigation

• Barnsley Hospital Foundation Trust, Initiatives to Support the Reduction of Pressure Ulcers
• Burton Hospitals Foundation Trust, New clinical procedure for oral suction
• Leeds Teaching Hospitals Trust in collaboration with Yorkshire and Humber AHSN Improvement Academy, Yorkshire Safety Huddles
• Salford Care Organisation Northern Care Alliance Group, HAT / VTE Assessment with Clinical decision support
• University Hospitals of Leicester Trust - Maternity Service, The Little Voice Inside
• West Hampshire Clinical Commissioning Group, University Hospital of North Midlands

Improving the value of diagnostic services

• Change Healthcare, formerly McKesson Imaging & Workflow Solutions, Royal Berkshire NHS Foundation Trust Drives up Standards with McKesson Cardiology
• City Hospitals Sunderland Foundation Trust, The Radiology Led Lung Cancer Escalation Pathway
• Leeds Teaching Hospitals Trust and Leeds Clinical Commissioning Groups Partnership - Leeds ACE Project Team, Leeds ACE Project
• Newham, Tower Hamlets, Waltham Forest CCGs and Bart’s Health Trust, Transforming Services Together: Appropriate Diagnostics
• North West London Collaboration of Clinical Commissioning Groups, Diagnostic radiography careers
• Sheffield Teaching Hospitals Foundation Trust, Fetal MRI
• St Bartholomew’s Hospital - Department of Cardiac Imaging, Making MRI available for cardiac pacemaker patients
• Surrey and Sussex Healthcare Trust, Making it Lean
• University Hospitals of Leicester Trust - Imaging Department, Imaging pathway improvement

Improving the value of NHS support services

• AuditOne, Merger of Audit North, Northumberland Internal Audit & Fraud Services and Sunderland Internal Audit Services
• Guy’s and St Thomas’ Foundation Trust, Sustainable Actions delivering Valuable Efficiencies (SAVE) - engaging staff members with sustainability
• Lancashire Care Foundation Trust, Improving value and patient safety through the creation of a team of specialised serious incident investigators
• LGSS in partnership with Northamptonshire Healthcare Foundation Trust, Using the LGSS Information Technology shared service model to reduce costs and improve quality in Northamptonshire
• Lincolnshire Community Health Services Trust, Lincolnshire Community Health Services NHS Trust: Operations Centre
• NHS Business Services Authority, NHS Loss Recovery Services
• University Hospitals Bristol Foundation Trust - Library, Customized Evidence Updates for Over 45 Departments and Synthesised Literature Searches

Improving the value of primary care services

• Alvanley Family Practice, Practice Health Champions at Alvanley Family Practice
• Camden Diabetes Integrated Practice Unit, Supporting Primary Care
• CBC Health, Pharmicus Hub @ CBC Health
• East Lancashire NHS Trust - Integrated Musculoskeletal Pain and Rheumatology Service, Healthy Mind, Healthy Body’ - a collaborative service re-design in a MSK environment
• Orton Bushfield Medical Practice, Thorpe Road Surgery, and Westwood Clinic - Peterborough Time to Care Testbed, Adaptable and Cost-Effective Workflow Management
• Pennine Care Foundation Trust, Self-Management Shared Care Wound Pathway
• Ryalls Park Medical Centre, New models of care
• Stockport Clinical Commissioning Group, Stockport Dermatoscope Project
• Tameside and Glossop Clinical Commissioning Group, Improving the value of primary care services
• West Wakefield Health & Wellbeing, Care Navigation national consultancy & training programme

Improving the value of surgical services

• Cambridge University Hospitals Foundation Trust, Theatre Supply Chain Transformation – The Gold Standard
• King’s Mill Hospital, Preoperative Assessment Streamlining & Risk Stratification
• Norfolk and Norwich University Hospitals Foundation Trust, Adopting innovation to improve the value of surgical intervention to treat severe urinary symptoms from BPH
• Rowley Hall Hospital, Theatre Improvement Project (TIP)
• Sheffield Teaching Hospitals Foundation Trust, Seamless Surgery
• Sherwood Forest Hospitals Foundation Trust, Improving the perioperative pathway of patients with, or at risk of, Obstructive Sleep Apnoea
• The Royal Orthopaedic Hospital Foundation Trust, Rapid Recovery: demonstrating the value of a new standardised pathway for hip replacement patients
• University Hospitals of North Midlands Trust, Savings to the Health Economy - Introduction of Mechanical Thrombectomy, a new minimally invasive surgical technique

Improving value in the care of frail older patients

• Ashford and St Peter’s Hospitals Foundation Trust, Older People Short Stay Unit (OPSSU) & OPSSU team
• Derby Teaching Hospitals Foundation Trust, Department of Medicine for the Elderly (DME) Liaison Team - Developing Partnerships with Surgical and Critical care teams
• Dorset Malnutrition Programme Partnership and Wessex Academic Health Science Network, A new integrated approach across health and social care to improve nutritional care for adults across Dorset
• Hartlepool and Stockton-on-Tees Clinical Commissioning Group, Improving Value in the Care of Frail Older Patients through the North Tees and Hartlepool Education Alliance
• Hull and East Yorkshire Hospitals Trust, Getting FIT in Hull: Our Frailty Intervention Team
• Royal Surrey County Hospital Foundation Trust, Improving Quality of Older Peoples Care
• Stoke Mandeville Hospital - Trauma and Orthopaedics Team, Trauma & Orthopaedics Patient experience improvement initiative
• Swindon Borough Council and Great Western Hospitals Foundation Trust, Reablement and Fessey House
• Tameside and Glossop Integrated Care Foundation Trust, Tameside Metropolitan Borough Council, Tameside and Glossop Clinical Commissioning Group, Tameside and Glossop Digital Health Service - Using Digital Technology to deliver place-based care to frail older people
• University Hospitals of North Midlands Trust, National Deconditioning Awareness and Prevention Campaign: Sit Up Get Dressed Keep Moving.
• Walsall Clinical Commissioning Group and Walsall Healthcare Trust, Enhanced Health Care Model for Nursing Homes

Improving value through better diabetes care

• Basildon and Thurrock University Hospitals Foundation Trust, EGGS: a new breed of diabetes antenatal clinic
• Camden Diabetes Integrated Practice Unit, Supporting Primary Care
• County Durham and Darlington Foundation Trust and partners, County Durham and Darlington Integrated Diabetes Collaboration
• East Lancashire Clinical Commissioning Group, Diabetes Integrated Service Transformation
• Kent Community Health Foundation Trust, Improving the Management and Care of Diabetic Older Adults living in a residential Care Home Setting
• Modality Partnership, Breaking down barriers in diabetes care
• North West London Collaboration of CCGs, NW London diabetes transformation programme
• Oxford University Hospitals Foundation Trust & The University of Oxford’s Institute of Biomedical Engineering & Drayson Health, The evidence-based, patient app-to-clinician system, transforming the management of diabetes in pregnancy
• Suffolk GP Federation, North East Essex Diabetes Service
• West Hants Community Diabetes Service, West Hampshire Community Diabetes

Improving value through innovative financial management or procurement

• East of England Ambulance Service Trust and Cambridge University Hospitals Foundation Trust, Ambulance/Acute Project
• East of England Collaborative Procurement Hub, Framework for Continence Products and Home Delivery Services
• Maidstone and Tunbridge Wells Trust, Utilising a Deep Dive approach to address Financial Special Measures
• Mid Essex Clinical Commissioning Group
• Oxford University Hospitals Foundation Trust - Procurement & Supply Chain Team North Staffordshire Combined Healthcare Trust, Procuring Innovation & Efficiency - Working in Partnership with the Supply Chain Valuemakers staff initiative
• Public Health Wales, Reuse and refurbishment of furniture through circular economy procurement
• The Newcastle Upon Tyne Hospitals Foundation Trust, Procurement Clinical Evaluation Group
• University Hospitals of Morecambe Bay Foundation Trust, Temporary Staffing – A New Approach

Mental health

• Devon Partnership Trust on behalf of South West Regional Secure Services, South West Regional Secure Services - Wave One New Care Model Pilot
• Kent and Medway and Social Care Partnership Trust, Patient Flow Transformation Project
• Lancashire Care Foundation Trust, Enhancing Acute Mental Health Care Pathways
• NHS England, Transforming Care children and young people’s project
• North Staffordshire Combined Healthcare Trust, Meir Partnership Care Hub
• North Staffordshire Combined Healthcare Trust, North Staffordshire Combined Healthcare Trust CAMHS in Schools
• Pathway
• Surrey and Borders Partnership Foundation Trust and Surrey County Council, Extended Hope
• The Tavistock and Portman Foundation Trust, Increasing value in child and adolescent mental health services through whole system redesign
• Turning Point, Oxleas Foundation Trust and National Probation Service, ‘Chefs in the House’
• University Hospitals Bristol Foundation Trust, UHBristol Emergency Department High Impact User team

Pharmacy and medicines optimisation

• Buckinghamshire Clinical Commissioning Group, Medicines: Stop, Start, Continue Programme
• East Lancashire Hospitals Trust, Dedicated Ward Pharmacy
• Harrogate and Rural District Clinical Commissioning GroupSafer Prescribing in Frailty
• Kings College Hospital Foundation Trust, The Drug Expenditure Programme - A clinically-led model for ensuring continuous best value from medicines
• Leeds Institute of Health Sciences, Campaign to Reduce Opioid Prescribing (CROP)
• Moorfields Eye Hospital Foundation Trust, Pharmacist-led Medicines Optimisation in Ophthalmology Improving Compliance, Quality of Care, Patient Safety and Quality of Life
• NHS England, Cost Effective Antiretroviral Prescribing Improving Value Project
• North Bristol Trust - Rheumatology multidisciplinary team, Medicines optimisation of biologic disease-modifying anti-rheumatic drugs - a multidisciplinary approach
• North Staffordshire Combined Healthcare Trust, Medication reduction in a Learning Disability inpatient service
• Nottingham University Hospitals Trust, Integrating a clinical pharmacy service in the Emergency Department
• Royal Devon and Exeter Foundation Trust - Rheumatology Department, Exeter Rheumatology Biologics Management Plan

Specialist services

• Brighton and Sussex University Hospitals Trust, Streamlining the Unilateral Tinnitus Patient Pathway
• Central London Community Healthcare Trust, Clinic U (Sexual Health Services for LGBTQ* People)
• Dorset HealthCare University Foundation Trust, Redesign of the Criminal Justice Liaison and Diversion Service in combination with Street Triage
• Guy’s and St Thomas’ Foundation Trust, South East London Neuronavigation Service
• Leicestershire Partnership Trust, Embedding the Enriched Model of Dementia Care on inpatient wards
• Medway Maritime Hospital Foundation Trust, Effect of Triaging of Spinal Referrals
• NHS Practitioner Health Service, Practitioner Health Service
• Nottingham Breast Institute, Nottingham University Hospitals Trust, Relieving the pain of the breast new referral clinic
• Psycho-Oncology Support Team, Dimbleby Cancer Care, Guy’s and St Thomas’ Foundation Trust, From small seeds acorns grow: an opt-in pilot for accessing psychological therapy in cancer
• St George’s University Hospitals Foundation Trust, St George’s Hospital Hyperacute Neurology Service
• University Hospitals of North Midlands Trust, Mechanical Thrombectomy in Stroke – Produces Improved Clinical Outcomes and Cost Benefits

The use of information technology to drive value in clinical services

• Blackpool Teaching Hospitals Foundation Trust, Digital Patient Tracker and Acute Care Mapping
• Cambridge University Hospitals Foundation Trust, Electronic medication optimisation with eHospital
• Connect Physical Health, Integrated Clinical Data Warehousing and Feedback
• Guildford and Waverley Clinical Commissioning Group, The use of Advice and Guidance to reduce GP referrals and first outpatient attendances
• Imperial College Healthcare Trust - Department of Neonatology, Integrated Family Delivered Care Project (IFDC)
• Luton Clinical Commissioning Group in partnership with Consultant Connect, How we avoided 5,900 A&E attendances over 2 years
• NHS Western Isles, Morse - Data on the Move
• Oxford University Hospitals Foundation Trust & The University of Oxford’s Institute of Biomedical Engineering & Drayson Health, SEND: digital charting of observations and Early Warning Score System - designed by clinicians for clinicians
• Sherwood Forest Hospitals Foundation Trust, Interoperability Link Between Healthcare and Social Services
• Surrey and Borders Partnership Foundation Trust, TIHM (Technology Integrated Health Management) for dementia
• Yorkshire Fertility - Calderdale & Huddersfield Foundation Trust & The Health Informatics Service, Virtual Patient Consultations - The Health Informatics Service & Yorkshire Fertility

Training and development

• Cumbria Learning and Improvement Collaborative, Developing our System so we all think about value
• Lancashire Care Foundation Trust, A virtual learning community for mental health pharmacists
• Lancashire Teaching Hospitals Foundation Trust, Supporting Rising Stars to shine - Talent Management at Lancashire Teaching Hospitals
• Norfolk and Norwich University Hospital Foundation Trust, Excellence Together – Achieving Clinically Led Change
• Oxford University Hospitals Foundation Trust, Future Leaders Programme
• PPL and Innovation Unit, West London - My Care, My Way: Learning Labs
• South West Anaesthesia Research Matrix, South West Anaesthesia Research Matrix (SWARM)
• The Newcastle upon Tyne Hospitals Foundation Trust, Responsive Empowered and Collaborative Training (REACT) - learning together from adverse events using a Human Factors approach
• TIPSQI – Trainees Improving Patient Safety through Quality Improvement, A peer-lead training initiative delivering QI training to Junior Doctors in the North West
• University Hospital Southampton Foundation Trust, Medicines Learning Portal
• West Wakefield Health and Wellbeing, Care Navigation National Consultancy and Training Programme

Value and improvement in facilities and estates management

• Aneurin Bevan University Health Board, Together Stronger
• Barts Health Trust - Waste management team, Sustainable Reuse & Bulk Waste Prevention Project
• Birmingham and Solihull Mental Health Foundation Trust, Achieving the ‘Golden Balance’: Finance and Quality
• Central London Community Healthcare Trust in Partnership with Capita, Implementation of a Strategic Partner for Model Office Estates and facilities Services
• Hull Citycare, Hull Centre Management
• Oxford University Hospitals Foundation Trust, The Hospital Energy Project
• University Hospitals of Morecambe Bay Foundation Trust, Facilities Helpdesk- Porter Allocation
• University Hospitals of North Midlands Trust, Electronic Meal Ordering System - Saffron

Workforce efficiency

• Conexus Healthcare, GP Care Wakefield
• East and North Hertfordshire Trust, On Boarding Development Programme- Supporting New Managers in Post
• Locum’s Nest
• LocumTap, LocumTap
• Medway Foundation Trust, Medway E.D. Workforce Recruitment and Retention
• NHS Collaborative Procurement Partnership, Managing the agency workforce market to save money and improve quality and safety
• Sherwood Forest Hospitals Foundation Trust, Medical Taskforce Programme
• Sherwood Forest Hospitals Foundation Trust, The removal of agency Healthcare Assistants and the development of the Virtual Ward Healthcare Assistant team
• The Royal Bournemouth and Christchurch Hospitals Foundation Trust, Workforce efficiency in theatres at Royal Bournemouth Hospital
• University Hospitals Coventry and Warwickshire Trust, Evolution of the Research Workforce
• University Hospitals of North Midlands Trust, Review of employing medical students as medical assistants in A&E