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Economics and the burden of respiratory disease
S11 The South East Essex (SEE) model of integrated COPD care and QUIP (Quality Innovation and Productivity) improvements
  1. A G Davison1,
  2. E Paddison2,
  3. C Hanna2,
  4. S Taylor3
  1. 1Southend University Hospital, Southend on Sea, UK
  2. 2South East Essex PCT, Southend on Sea, UK
  3. 3Southend PBC Group, Southend on Sea, UK


The coalition Government has announced there should be £20 billion saving over the next financial cycle in the health budget, and the QUIP (Quality, Innovation and Productivity) agenda is at the heart of this. The SEE model is an ongoing project of integrating COPD care across primary and secondary providers. A robust local network is at the centre of the project which includes increased Consultant community care (real and virtual), education of staff at the University of Essex, Hospital at Home, improved communication, increased community rehabilitation, community spirometry, improved pathways, self-management plans, oxygen alert cards, dedicated oxygen service and involvement of Breathe Easy. We have reviewed our data to see if productivity has improved in line with the QUIP agenda.

Results (See Abstract S11 Table 1) Oxygen provision has been reviewed in a three-step process starting with the highest tariffs and extending to all patients on oxygen resulting in £250 000 saving per year.

Conclusion Integrated services for COPD can bring care closer to home produce reduced admissions, reduced NP/FU ratios and saving on oxygen. Integrated services have achieved savings of at least £650 000 per annum and this is line with the QUIP agenda.

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