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The article looks at the 2015 and 2016 Great Britain National Health service (NHS) England New Care Models Programme which focuses on Integrated Case Management (ICM); development of enhanced services within a community setting; and developing clinical leadership. It mentions that ICM is comprised of community nursing, adult social care, and social prescribing.

The NHS is challenged with making efficiency savings of £20 billion by 2015. In order to achieve a target of this magnitude, commissioners, clinicians and patients are required to work together to evaluate current service delivery and explore all options which have the potential to increase efficiency. This article describes the significant service redesign work undertaken in Rotherham by commissioners, clinicians and patients which has improved the way in which prescriptions are issued to patients requiring stoma products. The project has achieved impressive financial savings and, importantly, has improved patient experience. The project illustrates how new ways of working can significantly contribute to the £20 billion savings target, avoiding cuts in service provision while simultaneously improving the quality of service provided to patients. [ABSTRACT FROM AUTHOR]

The article describes a decision support tool for outpatient services at Hounslow Primary Care Trust (PCT). Topics covered include the set of specialties that are frequently visited in a sequence, the development of an Excel based spreadsheet tool to compute demands for the selected specialties and the possible shift of endocrinology and ophthalmology from the hospital environment to the polyclinic.