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Be aware of the Adjusted Treatment Index

Proposed ‘point-value metrics’ for assessing the ‘efficiency’ of NHS Trusts relative to their peers could be inherently flawed, a former NHS estates and facilities manager warns.

In an independently-produced report published in June examining the ‘operational productivity’ of 22 English NHS Trusts, Lord Carter, who headed the team undertaking the research, and will speak at this month’s Healthcare Estates 2015 show, said that at least £1bn in both estates and procurement costs could be saved annually ‘via the adoption of best practice and modern systems.’ Here, Dr Melvyn Langford C.Eng, FIHEEM, MIMechE, MCIBSE, who has worked in the NHS for over 40 years, including as an estates and facilities manager at several NHS Trusts, and written several previous HEJ articles relating to the performance of NHS estates maintenance departments, warns that ‘the recently published interim report will be detrimental to our profession, as the proposed performance metrics do not represent reality’. 

Abstract

The authors of the interim report relating to the Review of Operational Productivity in NHS providers, published in June of this year, are, as many will know, developing a set of Adjusted Treatment Index (ATI) metrics, and are also to publish a model of their interpretation of what an estates department should look like in terms of its operational productivity and cost. 

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