Matches in SemOpenAlex for { <https://semopenalex.org/work/W2744249976> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W2744249976 abstract "Abstract Background Minimising prescription costs while maintaining quality is a core element of delivering high value healthcare. There are various strategies to achieve savings, but almost no research to date on determining the most effective approach. We describe a new method of identifying potential savings due to large national variations in drug cost, including variation in generic drug cost; and compare these with potential savings from an established method (generic prescribing). Methods We used English NHS Digital prescribing data, from October 2015 to September 2016. Potential cost savings were calculated by determining the price-per-unit (e.g. pill, ml) for each drug and dose within each general practice. This was compared against the same cost for the practice at the lowest cost decile, to determine achievable savings. We compared these price-per-unit savings to the savings possible from generic switching; and determined the chemicals with the highest savings nationally. A senior pharmacist manually assessed whether a random sample of savings were practically achievable. Results We identified a theoretical maximum of £410M of savings over 12 months. £273M of these savings were for individual prescribing changes worth over £50 per practice per month; this compares favorably with generic switching, where only £35M of achievable savings were identified. The biggest savings nationally were on glucose blood testing reagents (£12M), fluticasone propionate (£9M) and venlafaxine (£8M). Approximately half of all savings were deemed practically achievable. Discussion We have developed a new method to identify and enable large potential cost savings within NHS community prescribing. Given the current pressures on the NHS, it is vital that these potential savings are realised. Our tool enabling doctors to achieve these savings is now launched in pilot form. However savings could potentially be achieved more simply through national policy change. Abbreviations BNF British National Formulary CCG Clinical Commissioning Group GP General Practice MR Modified Release NHS National Health Service NIC Net Ingredient Cost NP8 Non-Part VIII, i.e. drugs not listed in Part VIII of the Drug Tariff PPU Price-Per-Unit" @default.
- W2744249976 created "2017-08-17" @default.
- W2744249976 creator A5010056291 @default.
- W2744249976 creator A5028642119 @default.
- W2744249976 creator A5032960366 @default.
- W2744249976 creator A5050511926 @default.
- W2744249976 creator A5058659192 @default.
- W2744249976 date "2017-08-04" @default.
- W2744249976 modified "2023-09-23" @default.
- W2744249976 title "A New Mechanism To Identify Cost Savings in NHS Prescribing: Minimising “Price-Per-Unit”" @default.
- W2744249976 cites W2060535161 @default.
- W2744249976 cites W2104783253 @default.
- W2744249976 cites W418698855 @default.
- W2744249976 doi "https://doi.org/10.1101/172569" @default.
- W2744249976 hasPublicationYear "2017" @default.
- W2744249976 type Work @default.
- W2744249976 sameAs 2744249976 @default.
- W2744249976 citedByCount "0" @default.
- W2744249976 crossrefType "posted-content" @default.
- W2744249976 hasAuthorship W2744249976A5010056291 @default.
- W2744249976 hasAuthorship W2744249976A5028642119 @default.
- W2744249976 hasAuthorship W2744249976A5032960366 @default.
- W2744249976 hasAuthorship W2744249976A5050511926 @default.
- W2744249976 hasAuthorship W2744249976A5058659192 @default.
- W2744249976 hasBestOaLocation W27442499761 @default.
- W2744249976 hasConcept C105795698 @default.
- W2744249976 hasConcept C122637931 @default.
- W2744249976 hasConcept C139719470 @default.
- W2744249976 hasConcept C144133560 @default.
- W2744249976 hasConcept C145420912 @default.
- W2744249976 hasConcept C147021879 @default.
- W2744249976 hasConcept C160735492 @default.
- W2744249976 hasConcept C162118730 @default.
- W2744249976 hasConcept C162324750 @default.
- W2744249976 hasConcept C185592680 @default.
- W2744249976 hasConcept C198531522 @default.
- W2744249976 hasConcept C21547014 @default.
- W2744249976 hasConcept C2426938 @default.
- W2744249976 hasConcept C33923547 @default.
- W2744249976 hasConcept C41008148 @default.
- W2744249976 hasConcept C43617362 @default.
- W2744249976 hasConcept C50522688 @default.
- W2744249976 hasConcept C71924100 @default.
- W2744249976 hasConcept C81603835 @default.
- W2744249976 hasConcept C8326231 @default.
- W2744249976 hasConcept C98274493 @default.
- W2744249976 hasConceptScore W2744249976C105795698 @default.
- W2744249976 hasConceptScore W2744249976C122637931 @default.
- W2744249976 hasConceptScore W2744249976C139719470 @default.
- W2744249976 hasConceptScore W2744249976C144133560 @default.
- W2744249976 hasConceptScore W2744249976C145420912 @default.
- W2744249976 hasConceptScore W2744249976C147021879 @default.
- W2744249976 hasConceptScore W2744249976C160735492 @default.
- W2744249976 hasConceptScore W2744249976C162118730 @default.
- W2744249976 hasConceptScore W2744249976C162324750 @default.
- W2744249976 hasConceptScore W2744249976C185592680 @default.
- W2744249976 hasConceptScore W2744249976C198531522 @default.
- W2744249976 hasConceptScore W2744249976C21547014 @default.
- W2744249976 hasConceptScore W2744249976C2426938 @default.
- W2744249976 hasConceptScore W2744249976C33923547 @default.
- W2744249976 hasConceptScore W2744249976C41008148 @default.
- W2744249976 hasConceptScore W2744249976C43617362 @default.
- W2744249976 hasConceptScore W2744249976C50522688 @default.
- W2744249976 hasConceptScore W2744249976C71924100 @default.
- W2744249976 hasConceptScore W2744249976C81603835 @default.
- W2744249976 hasConceptScore W2744249976C8326231 @default.
- W2744249976 hasConceptScore W2744249976C98274493 @default.
- W2744249976 hasLocation W27442499761 @default.
- W2744249976 hasLocation W27442499762 @default.
- W2744249976 hasOpenAccess W2744249976 @default.
- W2744249976 hasPrimaryLocation W27442499761 @default.
- W2744249976 hasRelatedWork W144475934 @default.
- W2744249976 hasRelatedWork W1599342091 @default.
- W2744249976 hasRelatedWork W1983601464 @default.
- W2744249976 hasRelatedWork W2000946218 @default.
- W2744249976 hasRelatedWork W2037066902 @default.
- W2744249976 hasRelatedWork W2044168842 @default.
- W2744249976 hasRelatedWork W2100946161 @default.
- W2744249976 hasRelatedWork W2141750836 @default.
- W2744249976 hasRelatedWork W2169479841 @default.
- W2744249976 hasRelatedWork W2240503634 @default.
- W2744249976 hasRelatedWork W2246056428 @default.
- W2744249976 hasRelatedWork W2411993446 @default.
- W2744249976 hasRelatedWork W2497697570 @default.
- W2744249976 hasRelatedWork W2580203391 @default.
- W2744249976 hasRelatedWork W2903458801 @default.
- W2744249976 hasRelatedWork W2910236801 @default.
- W2744249976 hasRelatedWork W2911168414 @default.
- W2744249976 hasRelatedWork W2972159115 @default.
- W2744249976 hasRelatedWork W3104733799 @default.
- W2744249976 hasRelatedWork W2741421433 @default.
- W2744249976 isParatext "false" @default.
- W2744249976 isRetracted "false" @default.
- W2744249976 magId "2744249976" @default.
- W2744249976 workType "article" @default.