Financial sustainability

The NHS is increasing spend in Nottingham and Nottinghamshire for 2024/25, but the demands on health and care services are rising. This means all partners in the Nottingham and Nottinghamshire Integrated Care System need to work together to transform the way that health and care services are delivered across our geographical area. As part of this approach, Nottingham and Nottinghamshire Integrated Care Board (ICB) need to make decisions about how spending is prioritised to achieve the best value.

All services are being reviewed to check that they are having the desired impact and are affordable. In some instances, the focus is on increasing productivity and efficiencies in the way that services are provided. This ensures that we make the best use of our facilities and workforce. This will be done working with clinicians to check that there is no duplication of services and that services offered are evidence-based and demonstrably beneficial to patients.

A summary of the proposed changes can be found below.

Alongside this, we will continue to deliver on our positive developments including:   

  • Health Inequalities Innovation and Investment Fund to help those people who are currently the most disadvantaged through more personalised, targeted support.
  • Integrated Neighbourhood Teams which bring together local councils, health and social care, community groups, voluntary sector organisations and citizens to find ways to improve the health and wellbeing of local people.
  • Sharing and analysing data from across organisations to make sure we are targeting services and support where it is needed.
  • Improving primary care access by continuing to recruit to additional roles in primary care, rolling out new digital solutions and systems and increasing the offer from pharmacists. GP appointments increased by 5% compared to the first three months of last year (NHS Digital data from January – March 2023 and 2024)
  • Improving urgent and emergency care by maximising the use of virtual ward beds to support patients who would otherwise be in hospital (focussing on frailty and respiratory capacity), embedding and expanding the Urgent Care Coordination Hub to make sure clinicians have a single point of access to ensure our patients receive the right care in the right place first time.
  • Significantly reducing waiting times for treatment. 78 week waits have been eliminated and 65 week waits are down by 21% (from April 2023 to February 2024).

Acute, Planned Care, Non-Acute – Service Redesign & Change

Schemes and their descriptions

  • End of Life Care
    Redesign existing provision in Bassetlaw to provide more hospice at home and hospice at night services. Change use of Specialist Palliative Care beds to Community bed model.
    Anticipated 24/25 savings: £125,000
    25/26 Savings: £375,000
    Total savings
    : £500,000
  • MSK
    Consolidation of contracts for muscular skeletal and pain to deliver efficiency on administration costs. Application of Value Based Commissioning Policy to ensure only clinically effective interventions are provided.
    Anticipated 24/25 savings: £370,000
    25/26 Savings: £-
    Total savings: £370,000
  • Gynaecology
    Consolidation of contracts for gynaecology to deliver efficiency on administration costs. Review pathway to reduce unnecessary steps and increase use of Advice and Guidance. Implementation of new tariff for Termination of Pregnancy services with no change for service provided to patients.
    Anticipated 24/25 savings: £134,000
    25/26 Savings: £-
    Total savings: £134,000
  • Vasectomy
    Application of Value Based Commissioning Policy to ensure only clinically effective interventions are provided. Reporting of activity to achieve Elective Recovery Fund payment.
    Anticipated 24/25 savings: £1,078,000
    25/26 Savings: £-
    Total savings: £1,078,000
  • Dermatology
    Reporting of activity to achieve Elective Recovery Fund payment. Reviewing opportunity for lead provider model.
    Anticipated 24/25 savings: £292,000
    25/26 Savings:
    Total savings: £292,000
  • Community Diagnostic Centres
    Slippage in funding for Community Diagnostic Centre due to delays in staff recruitment for both Mansfield and Nottingham locations
    Anticipated 24/25 savings: £500,000
    25/26 Savings:
    Total savings: £500,000


    Total:
  • Anticipated 24/25 savings: £2,499,000
  • 25/26 savings: £375,000
  • Total savings: £2,874,000

Planned Care, Non-Acute Contracts – Transactional

Schemes and their descriptions

  • Activity recording
    Reporting of activity to achieve Elective Recovery Fund payment for community gynaecology services. Accurate coding of ophthalmology services to ensure correct tariff payment.
    Anticipated 24/25 savings: £684,000
    25/26 Savings: £-
    Total savings: £684,000

  • First to follow up outpatient ratio
    Reduction in number of follow up appointments at Independent Sector Providers in line with national standards to reduce appointments that are not clinically necessary.
    Anticipated 24/25 savings: £1,368,000
    25/26 Savings: £-
    Total savings: £1,368,000
  • Contract Negotiations and controls – Nottingham University Hospitals Local Prices
    Review of locally defined services at Nottingham University Hospitals to ensure they are required and being delivered.
    Anticipated 24/25 savings: £1,200,000
    25/26 Savings: £-
    Total savings: £1,200,000

  • Contract Negotiations and controls – Independent Sector Providers
    Review of contract terms and conditions with Independent Sector Providers.
    Anticipated 24/25 savings: £456,000
    25/26 Savings: £-
    Total savings: £456,000
  • Value based Commissioning Policy
    Application of Value Based Commissioning Policy to ensure only clinically effective interventions are provided.
    Anticipated 24/25 savings: £570,000
    25/26 Savings: £-
    Total savings: £570,000

  • Primary Care Psychological Medicine
    PCPM was an NHS Vanguard pilot project, provided only in the former Rushcliffe Clinical Commissioning Group (CCG) geography. Following detailed consideration of value for money and population level outcomes, the Rushcliffe Service has been superseded from 2024/25 by an equitable offer of other services to all patients in Nottingham and Nottinghamshire who may benefit from dedicated psychological medicine input in primary care settings to improve physical health outcomes.
    Anticipated 24/25 savings: £416,000
    25/26 Savings: £-
    Total savings: £416,000

  • Oxygen rebate
    Rebate on VAT for home oxygen supplies.
    Anticipated 24/25 savings: £920,000
    25/26 Savings: £-
    Total savings: £920,000

  • Renal transport – Bassetlaw
    Reduction in contact value following reprocurement. ICB is an associate to the contract tendered by South Yorkshire.
    Anticipated 24/25 savings: £140,000
    25/26 Savings: £-
    Total savings: £140,000

  • Inter facility transfers Bassetlaw
    Change in contractual responsibility from ICB to Doncaster and Bassetlaw Hospitals Trust. Contract in place to transport inpatients between hospital sites – no change for patients.
    Anticipated 24/25 savings: £410,000
    25/26 Savings: £-
    Total savings: £410,000

  • SpaMedica rebate
    Rebate from provider for procedures undertaken outside of Value Based Commissioning policy.
    Anticipated 24/25 savings: £150,000
    25/26 Savings: £-
    Total savings: £150,000


    Total:
  • Anticipated 24/25 savings: £6,314,000
  • 25/26 savings: £-
  • Total savings: £6,314,000

Mental Health

Schemes and their descriptions

  • Mental Health Social Prescribing
    Savings from slippage in implementation of model in Nottingham West and Mid Notts.
    Anticipated 24/25 savings: £159,000
    25/26 Savings: TBC
    Total savings: TBC

Mental Health Investment Review

Schemes and their descriptions

  • Mental Health Investment Review
    Review of 2-year Mental Health Investments with NHFT.
    Anticipated 24/25 savings: £3,100,000
    25/26 Savings: £-
    Total savings: £3,100,000

Prescribing

Schemes and their descriptions

  • Optimise Rx – Notts
    Improved software to support prescribers with point of prescribing decision making. This will improve patient care and cost-effective prescribing. Messages are authored / tailored by the ICB medicines optimisation team according to national and local guidelines, policies and priorities.
    Anticipated 24/25 savings: £2,220,000
    25/26 Savings: £-
    Total savings: £2,220,000

  • Optimise Rx – Bassetlaw
    Improved software to support prescribers with point of prescribing decision making. This will improve patient care and cost-effective prescribing. Messages are authored / tailored according to national and local guidelines, policies and priorities.
    Anticipated 24/25 savings: £228,000
    25/26 Savings: £-
    Total savings: £228,000

  • Triple Inhalers (COPD & Asthma)
    Proposal to swap patients who currently use two inhalers for COPD to a single inhaler which is easier to manage and creates less waste and fewer harmful emissions.
    Anticipated 24/25 savings: £360,000
    25/26 Savings: £-
    Total savings: £360,000

  • ICB Meds op Team Ad hoc Savings
    General efficiencies identified by the ICB Prescribing Informatics Team.
    Anticipated 24/25 savings: £500,000
    25/26 Savings: £-
    Total savings: £500,000

  • Vitamin D
    Proposal to switch vitamin D prescribing to a more cost-effective equivalent product. Provide guidance for care homes around providing prevention doses to residents.
    Anticipated 24/25 savings: £150,000
    25/26 Savings: £-
    Total savings: £150,000

  • Insulin Biosimilars
    Proposal to change prescribed insulin to a more cost-effective similar brand where clinically appropriate (“biosimilars”).
    Anticipated 24/25 savings: £12,000
    25/26 Savings: £-
    Total savings: £12,000

  • Blood Glucose Testing Strips (BGTS)
    To encourage prescribing of cost-effective blood glucose test strips, which are in line with nationally recommended choices, and to ensure patients are prescribed appropriate quantities for their condition.
    Anticipated 24/25 savings: £100,000
    25/26 Savings: £-
    Total savings: £100,000

  • Fostair to Luforbec
    The proposal is to switch patients from Fostair Metered Dose Inhaler (MDI) to Luforbec MDI which contains the same ingredients at a lower cost. This proposal is in line with the Nottinghamshire Joint Formulary and respiratory guideline as Luforbec is the first choice of MDI for combination steroid and long-acting beta agonist.
    Anticipated 24/25 savings: £540,000
    25/26 Savings: £-
    Total savings: £540,000

  • Generic prescribing
    Increase amount of generic prescribing for medicines where there is a significant saving by prescribing generically (i.e. not by brand name). Generic prescribing prices are governed by the Drug Tariff, rather than being set by manufacturers. Generic prescribing also helps to reduce the impact of medicines shortages on prescribers, community pharmacies and patients.
    Anticipated 24/25 savings: £166,000
    25/26 Savings: £-
    Total savings: £166,000

  • Oral Glucose
    No longer prescribe glucose treatment for hypoglycaemia (low blood sugar) in diabetic patients. Position statement for primary care was produced in April 2024, and patient leaflet about using sweets, juice etc. as alternative ways to manage low blood sugar.
    Anticipated 24/25 savings: £12,000
    25/26 Savings: £-
    Total savings: £12,000

  • Safety Needles
    Work with community service providers to inform them that staff should access safety needles, if they are needed for employee protection, through their employer rather than through prescribing to patients.
    Anticipated 24/25 savings: £100,000
    25/26 Savings: £-
    Total savings: £100,000

  • Enoxaparin
    Increased use of Arovi, a more cost-effective brand of the blood thinning injection, enoxaparin.
    Anticipated 24/25 savings: £24,000
    25/26 Savings: £-
    Total savings: £24,000

  • Direct supply wound care
    Proposal for Bassetlaw residents to receive wound care supplies directly from their community nurse rather than by prescription if the patient is under the care of the community nursing team. This will provide patients with a faster service, in line with the service delivered in other areas.
    Anticipated 24/25 savings: £75,000
    25/26 Savings: £-
    Total savings: £75,000

  • High-Cost medicines
    Use of biosimilar (similar medicine) at NUH and SFHT for specific products. Switching from the original reference medicine to a biosimilar does not appear to impact efficacy, safety or immunogenicity. Using best value biological medicines in line with NHSE England commissioning recommendations.
    Anticipated 24/25 savings: £207,000
    25/26 Savings: £-
    Total savings: £207,000

  • Rebate
    Rebates received when specific drugs are prescribed. Contracts negotiated by ICB medicines optimisation team.
    Anticipated 24/25 savings: £1,911,000
    25/26 Savings: £-
    Total savings: £1,911,000

  • Patent Expiries – Apixaban
    Informing prescribers of the most cost-effective way of prescribing and encouraging them to move away from expensive branded prescribing where generic prescribing is clinically appropriate and more cost effective.
    Anticipated 24/25 savings: £3,982,000
    25/26 Savings: £-
    Total savings: £3,982,000

  • Patent Expiries from 23/24
    Informing prescribers of the most cost-effective way of prescribing and encouraging them to move away from expensive branded prescribing where generic prescribing is clinically appropriate and more cost effective.
    Anticipated 24/25 savings: £118,000
    25/26 Savings: £-
    Total savings: £118,000

  • Patent Expiries new 24/25
    Informing prescribers of the most cost-effective way of prescribing and encouraging them to move away from expensive branded prescribing where generic prescribing is clinically appropriate and more cost effective.
    Anticipated 24/25 savings: £827,000
    25/26 Savings: £-
    Total savings: £827,000

  • Patent Expiries – Rivaroxaban
    Informing prescribers of the most cost-effective way of prescribing and encouraging them to move away from expensive branded prescribing where generic prescribing is clinically appropriate and more cost effective.
    Anticipated 24/25 savings: £1,176,000
    25/26 Savings: £-
    Total savings: £1,176,000

  • Soprobec
    Encouraging prescribers to change prescribing from Soprobec to a more cost-effective brand.
    Anticipated 24/25 savings: £60,000
    25/26 Savings: £-
    Total savings: £60
    ,000

    Total:
  • Anticipated 24/25 savings: £12,768,000
  • 25/26 savings: £-
  • Total savings: £12,768,000

Primary care

Schemes and their descriptions

  • PC IT Contracts
    Savings on software licences and cost of SMS messaging by practices. Management of IT equipment spend.
    Anticipated 24/25 savings: £123,000
    25/26 Savings: £25,000
    Total savings: £148,000
  • Protected learning time/PCDC
    Greater use of virtual methods to deliver GP protected learning time, reducing overhead costs compared to face to face training.
    Anticipated 24/25 savings: £13,000
    25/26 Savings: £50,000
    Total savings: £63,000
  • Primary Care Access Recovery Plan Flexibility
    Savings from anticipated underspend due to reduced uptake of national support programme for General Practice relating to access to primary care.
    Anticipated 24/25 savings: £350,000
    25/26 Savings: £-
    Total savings: £350,000
  • Primary Care Delegated
    Efficiencies in contract management for: additional staff/staff relief support; business rates rebates; slippage in achievement of QoF scheme; slippage on premises development schemes; clinical effectiveness audit of minor surgery; accrual of Additional Roles Reimbursement Scheme.
    Anticipated 24/25 savings: £1,767,000
    25/26 Savings: £114,000
    Total savings: £1,881,000

    Total:
  • Anticipated 24/25 savings: £2,252,000
  • 25/26 savings: £189,000
  • Total savings: £2,441,000

S117

Schemes and their descriptions

  • Review of Section 117 aftercare process and policies
    Review of process and policy for s117 mental health aftercare.
    Anticipated 24/25 savings: £278,000
    25/26 Savings: £503,000
    Total savings: £781,000

Continuing Health Care

Schemes and their descriptions

  • Jointly Funded – New Cases and Direct commissioning of HCC
    A new Joint Funding Policy has been developed to determine what are health needs and should receive a health care contribution and what are social care needs.
    Anticipated 24/25 savings: £559,000
    25/26 Savings: £-
    Total savings: £559,000
  • Jointly Funded – Review existing packages
    Proposal to assess everyone who currently receives care which is part-funded by the NHS to check the support they are receiving is in line with their health needs. A new policy has been approved which determines what are health needs and what are social care needs. People who are assessed as having no health needs will no longer be jointly funded by the NHS. People who are assessed as having health needs will still be funded.
    Anticipated 24/25 savings: £9,000,000
    25/26 Savings: £-
    Total savings: £9,000,000
  • Jointly Funded – Liaison reviews
    Full year effect of previous review of continuing health care packages where people did not have a health need.
    Anticipated 24/25 savings: £1,475,000
    25/26 Savings: £-
    Total savings: £1,475,000
  • One to One in Care Homes
    Continuing to review all existing and new requests for one-to-one care in standard nursing home placements. One-to-one care can be very restrictive for residents, so it should only be provided in cases where there is need. This reviewing process has already been in place for a year.
    Anticipated 24/25 savings: £816,000
    25/26 Savings: £-
    Total savings: £816,000
  • Eligibility review
    Proposal to review existing packages of care to ensure equitable and in line with policy.
    Anticipated 24/25 savings: £1,536,000
    25/26 Savings: £-
    Total savings: £1,536,000

  • Children’s
    Proposal to reviewed children’s care packages to ensure care is equitable, appropriate for the child and offers value for money.
    Anticipated 24/25 savings: £500,000
    25/26 Savings: £-
    Total savings: £500,000
  • Fast track
    Proposal to reduce inappropriate referrals for Fast Track care packages. Proposal for Fast Track services in North Notts to be provided by the Mid Notts end of Life Better Together Alliance. Fast Track is the funding received in the final 12 weeks of life.
    Anticipated 24/25 savings: £350,000
    25/26 Savings: £-
    Total savings: £350,000

  • High-cost packages
    Proposal to review high-cost packages to see if they can be delivered more efficiently and ensure robust case management.
    Anticipated 24/25 savings: £200,000
    25/26 Savings: £-
    Total savings: £200,000
  • Roving service
    Proposal to end contract for roving service in Bassetlaw and buy services on an ad hoc basis. Patients will still receive a service.
    Anticipated 24/25 savings: £118,000
    25/26 Savings: £-
    Total savings: £118,000
  • Notice period 28 to 14 day
    Proposal to reduce the notice period from 28 days to 14 days when a person is no longer eligible for health care funding.
    Anticipated 24/25 savings: £521,000
    25/26 Savings: £-
    Total savings: £521,000
  • 4-week backdating
    Proposal that providers who request refunds for changes in care packages will only receive these backdated for a four-week period.
    Anticipated 24/25 savings: £500,000
    25/26 Savings: £-
    Total savings: £500,000
  • Transport
    Proposal that transport for people with continuing health care to day services and respite care will no longer be available as part of their care package.
    Anticipated 24/25 savings: £900,000
    25/26 Savings: £-
    Total savings: £900,000

    Total:
  • Anticipated 24/25 savings: £16,474,000
  • 25/26 savings: £-
  • Total savings: £16,474,000

Urgent Emergency Care

Schemes and their descriptions

  • Virtual ward budget
    The proposal is to defer the procurement of a long-term IT solution and reduce the overall budget for virtual wards by a total of £1.4m. Further expansion of virtual wards will be deferred.
    Anticipated 24/25 savings: £1,400,000
    25/26 Savings: £-
    Total savings: £1,400,000
  • Better Care Fund Discharge fund
    An additional £4m of government funding has been received as part of the Better Care Fund to support discharge from hospital. This has been partly utilised to meet the costs of previously approved P1 costs, releasing the budget created to support these costs to value of £2.3m.
    Anticipated 24/25 savings: £2,300,000
    25/26 Savings: £-
    Total savings: £2,300,000
  • Patient Transport Services (PTS)
    It is proposed that by improving the way transport is booked and utilised across the ICS, savings/efficiencies can be made on total spend on PTS across the ICS.
    Anticipated 24/25 savings: £38,000
    25/26 Savings: £-
    Total savings: £38,000
  • P1 reduced funding
    Consolidation of number of providers delivering Pathway 1 packages of care following discharge from hospital. A reduction in total P1 budget by £2m (the current NWB pathway would be included within this saving – see below).
    Anticipated 24/25 savings: £400,000
    25/26 Savings: £1,200,000
    Total savings: £1,600,000
  • P1 Non Weight Bearing
    Ensure adherence to contract terms with all providers delivering Pathway 1 packages of care for non-weight bearing patients. This would allow us to cease the additional non weight bearing spend.
    Anticipated 24/25 savings: £400,000
    25/26 Savings: £-
    Total savings: £400,000
  • P2 financial envelope
    Review of Pathway 2 community bed base and model with proposal to recommission and top slice the financial envelope by approx. 380k with 80k in 24/25.
    Anticipated 24/25 savings: £80,000
    25/26 Savings: £300,000
    Total savings: £380,000
  • Fracture Liaison Service contract savings
    The ICB has approved a phased exit from the South Notts Fracture Liaison Service infusion service at East Bridgford Medical Centre. Work is underway to secure an equitable, affordable and consistent standard of service for all ICB citizens.
    Anticipated 24/25 savings: £300,000
    25/26 Savings: £-
    Total savings: £300,000
  • Urgent Community Response (UCR)
    Proposal is to mobilise an integrated UCR offer between providers to release efficiencies of around 70k which represents 2% of the budget.
    Anticipated 24/25 savings: £-
    25/26 Savings: £70,000
    Total savings: £70,000
  • Bassetlaw Urgent Care Service (BUCS)
    The proposal is to novate the contract we hold with Nottinghamshire Healthcare Trust who commission DHU to provide the BUCS service and to contract directly with DHU.
    Anticipated 24/25 savings: £-*
    25/26 Savings: £-*
    Total savings: £-*
  • Directory of Services (DoS)
    Serve notice on Bassetlaw DOS and bring in house so ICB DOS team cover Bassetlaw work – saving £5k.
    Anticipated 24/25 savings: £5,000
    25/26 Savings: £-
    Total savings: £5,000
  • Discharge to Assess (D2A)
    We are reviewing all D2A BCF funded posts and have identified at least 9k of savings from posts that are currently within the TOCHs etc
    Anticipated 24/25 savings: £9,000
    25/26 Savings: £-
    Total savings: £9,000
  • BCF
    Review of funding for discharge support including housing adaptations and assistive technology.
    Anticipated 24/25 savings: £45,000
    25/26 Savings: £-
    Total savings: £45,000
  • Local Area Coordination (LAC)
    Review ICB contribution to year two allocation of funding for Local Area Coordination roles in Nottingham City.
    Anticipated 24/25 savings: £140,000
    25/26 Savings: £-
    Total savings: £140,000
  • Recurrent Funding Agreement for the ‘Reducing Conveyance Lead’ Post
    Cease ICB funding of EMAS posts recruited to reduce ambulance conveyances to hospital.
    Anticipated 24/25 savings: £12,000
    25/26 Savings: £24,000
    Total savings: £36,000

    Total:
  • Anticipated 24/25 savings: £5,129,000**
  • 25/26 savings: £1,594,000**
  • Total savings: £6,723,000**
  • **does not include the savings from Bassetlaw Urgent Care Service

Preventative

Schemes and their descriptions

  • LGBT+ Network
    Review of training for healthcare staff.
    Anticipated 24/25 savings: £-
    25/26 Savings: £1,500,000
    Total savings: £1,500,000

Service Development Funding

Schemes and their descriptions

  • Mental Health – MH CYP
    ICB is undertaking review of Mental Health Investment Standard (MHIS) and SDF investment to ensure VFM and targeted impact, before proposing any additional investment.
    Anticipated 24/25 savings: £765,000
    25/26 Savings: £-
    Total savings: £765,000
  • Mental Health – MH Adult Community
    ICB is undertaking review of Mental Health Investment Standard (MHIS) and SDF investment to ensure VFM and targeted impact, before proposing any additional investment.
    Anticipated 24/25 savings: £1,095,000
    25/26 Savings: £-
    Total savings: £1,095,000
  • Mental Health – IPS additional funding (New 24/25)
    Services already meeting standards – no further implementation in-year.
    Anticipated 24/25 savings: £337,000
    25/26 Savings: £-
    Total savings: £337,000
  • Mental Health – MHLDA Inpatient Quality (New 24/25)
    Three-year Inpatient Plan published end of July 2024; investment plans are being finalised.
    Anticipated 24/25 savings: £855,000
    25/26 Savings: £-
    Total savings: £855,000
  • Learning Disability and Autism
    Review of funding commitments and phasing of full year plan
    Anticipated 24/25 savings: £506,000
    25/26 Savings: £-
    Total savings: £506,000
  • Women’s health hubs
    Savings from slippage in Service Development Fund to support Women’s Health Hub.
    Anticipated 24/25 savings: £251,000
    25/26 Savings: £-
    Total savings: £251,000
  • Prevention & Long-Term conditions – Prevention & LTC Universal Allocation
    Savings from reduced investment of recurrent Service Development Fund to support CVD, stroke and diabetes.
    Anticipated 24/25 savings: £253,000

    25/26 Savings: £-
    Total savings: £253,000
  • Prevention & Long-Term conditions – Prevention & LTC Targeted Allocation
    Savings from reduced investment of non-recurrent Service Development Fund to support CVD, stroke and diabetes.
    Anticipated 24/25 savings: £423,000
    25/26 Savings: £-
    Total savings: £423,000
  • PC Workforce
    Reduction in training for non-clinical General Practice staff through multi-professional support unit.
    Anticipated 24/25 savings: £25,000
    25/26 Savings: £-
    Total savings: £25,000
  • Primary Care – Primary Care Transformation
    Savings from reduced investment of non-recurrent Service Development Fund to support primary care transformation.
    Anticipated 24/25 savings: £990,000
    25/26 Savings: £-
    Total savings: £990,000
  • Proactive care
    Cease the temporary Proactive Care pilots and embed learning within core service offers. Frail older people will continue to receive support for medication reviews, assessment for carer support and advice and nutrition via other roles in primary care teams.
    Anticipated 24/25 savings: £1,300,000
    25/26 Savings: £-
    Total savings: £1,300,000

    Total:
  • Anticipated 24/25 savings: £6,800,000
  • 25/26 savings: £-
  • Total savings: £6,800,000
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