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Nine ways research could save the NHS money

In this highlight, we have carefully selected nine NIHR Signals that show how research could help to save the NHS money. This collection covers a range of treatments and initiatives that are cost effective for the NHS. You can find out more about Signals or read the latest on the Discover Portal.

 Weight loss surgery is value for money in people with severe obesity

Weight loss surgery

On average people lost 5kg more in each of the first four months after weight loss surgery than those of a similar weight who did not undergo surgery. Obesity is linked with health conditions such as type 2 diabetes, which is expensive to manage and detrimental to patients health.  Read more.

 Surgery is no more effective than a sling for misaligned shoulder fractures

Sling vs Surgery

This trial showed that treatment with a sling was as effective as surgery for treating people with displaced fractures of the upper arm. This evidence could help reduce complications for patients and costs to the NHS. Read more.

Rotavirus vaccine helped to save the NHS money with a reduction in GP visits during winter 

Rotavirus vaccination

Since the introduction of the rotavirus vaccine in July 2013 there has been a 15% reduction in rates of infectious diarrhoea in children up to the age of five. The reduced number of healthcare visits was estimated to have saved the NHS in England £12.5million from July 2013 to June 2014.  Read more.

Public health interventions may offer society a return on investment of £14 for each £1 spent

Investment in public health

This review compared "return on investment" and "cost-benefit" estimates for a range of public health interventions.
Each £1 invested in public health interventions could offer an average return on investment to the wider health and social care economy of £14. Read more.

Less stringent target oxygen levels for acute bronchiolitis are safe and effective

Bronchiolitis and oxygen threshold

This trial found that acute bronchiolitis in children can be safely managed to a slightly lower target level of oxygen saturation than is currently used. A lowering in the threshold may save NHS resources by reducing length of stay in hospital. In this study the cost of the hospital stay was £886 in the lower threshold group, compared to £1055 for those managed to the higher target. Read more.

 Routine replacement of intravenous cannulae is unnecessary and costly

Catheter regular vs routine

Changing peripheral venous catheters ("cannulae") according to clinical need is just as safe doing it routinely every three to four days. This review confirmed that catheter replacement by need is a better approach, and that it was equally safe and cost-effective. Read more.

Behavioural activation (BA) is cheaper and can be as good as Cognitive Behavioural Therapy (CBT) for treating depression

Behavioural activation therapy

A simpler therapy called behavioural activation (BA) can be as effective at treating adults with depression as cognitive behavioural therapy (CBT). This therapy is delivered more cheaply, by trained mental health workers. Read more.

Redesigning oral surgery with enhanced primary dental care, electronic referral and triage may save overall costs

Redesigning oral surgery

An electronic referral system, including consultant-led triage and an advanced oral surgery service in primary care, results in fewer people requiring oral surgery in hospital. A study showed that this process comes in at a lower cost than previous arrangements. Read more.

Same day treatment of uterine polyps in clinics is as good as inpatient treatment and better value for money

Uterine polyps inpatient-vs outpatient

A trial compared treatment of uterine polyps under local anaesthetic with inpatient treatment under general anaesthetic. It found that outpatient treatment was cheaper than inpatient treatment, had similar success rates and might be more convenient. However this needs to be balanced against other factors.  Read more.

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