Cost-saving and outcomes-based innovations which are nationally available and directly funded by NHS England.
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PLG-F Triage Test (Placental Growth Factor – Quidel)
ITP
AAC
Description: Point of care or laboratory blood test result within 20 minutes to measure elevation of one protein biomarker detectable before the onset of pre-eclampsia. 98% accuracy to rule out pre-eclampsia for 14 days.
Related clinical specialism: Women and children’s
PLGF Ratio Test (Placental Growth Factor – Roche)
ITP
AAC
Description: Blood test to measure the ratio of two protein biomarkers detectable before the onset of pre-eclampsia. 99.3% accuracy to rule out pre-eclampsia for one week, preventing unnecessary monitoring, and helps detect other placental conditions.
Related clinical specialism: Women and children’s
EpiScissors-60
ITT
Description: Fixed 60o scissors to increase accuracy of the episiotomy angle. Reduces risk of damage to the pelvic floor and the need for further surgery.
Related clinical specialism: Women and children’s
FIT (faecal immunochemical tests)
AAC
Description: Self-administered postal stool sample to detect faecal occult blood. It is easier to manage, better than traditional tests for early detection of colorectal cancer and helps detect other colorectal abnormalities.
Related clinical specialism: Gastroenterology, Endoscopy, Biochemistry
Faecal Calprotectin
Description: Self-administered stool test to detect increased levels of calprotectin, it can be analysed in a GP surgery or in a local lab, with results provided in less than a minute. Distinguishes between inflammatory bowel diseases (e.g. Crohn’s, ulcerative colitis) and non-inflammatory syndromes, allowing early effective management and reducing unnecessary colonoscopies.
Related clinical specialism: Primary Care, Gastroenterology, Endoscopy, Biochemistry
Faecal Microbiota Transplant (FMT)
ITT
Description: Transfer via nasogastric tube (through a processed mixture of liquid stool) of healthy bacteria from a donor into the intestines of the patient (recipient). Treats recurrent clostridium difficile bacterial infections in one dose with 80% efficacy, reducing unnecessary antibiotic therapy and mortality.
Related clinical specialism: Gastroenterology, Endoscopy, Microbiology
Endocuff Vision
ITP
Description: Arterial connecting systems to reduce bacterial contamination and the accidental administration of medication – Although rare, accidental injection of intravenous medication into an atrial line can lead to catastrophic injuries which sometimes require major amputations. Innovations that ensure this does not happen will increase patient safety in NHS hospitals.
Related clinical specialism: Gastroenterology, Endoscopy, General surgery
HeartFlow
AAC
ITP
Description: A standard coronary CT scan is uploaded to HeartFlow, which produces an FFRCT, and a 3D model of the coronary arteries. Reduces unnecessary invasive angiograms by specifically identifying site and degree of coronary artery block.
Related clinical specialism: Cardiology: for use in stable, recent onset chest pain and suspected angina.
High-sensitivity Troponin-T assay
AAC
ITP
Description: Two blood tests are performed one or three hours apart compared to standard testing (10-12 hours apart), to rule out myocardial infarction within four hours of presentation to the emergency department (ED).
Related clinical specialism: Cardiology: acute coronary syndrome, emergency medicine, biochemistry. For use with early rule out protocol.
PCSK9 cholesterol inhibitors
AAC
Description: An injectable medicine given once every two to four weeks for people at high risk of heart disease who do not reach target cholesterol levels using traditional medicines. Reduces the risk of heart attack and stroke.
Related clinical specialism: Cardiology, Diabetology, Endocrinology, Clinical biochemistry
Urolift
AAC
ITT
Description: Day case procedure to relieve symptoms of urinary outflow obstruction without cutting or removing tissue. A cost-effective alternative to TURP, reducing theatre costs, outpatient activity and improving patient satisfaction.
Related clinical specialism: Urology: benign prostatic hyperplasia
Space OAR Hydrogel
ITP
Description: Hydrogel injected between the prostate and rectum prior to prostate radiotherapy, temporarily creates space between them. Minimises radiation dose to the rectum and other organs, reducing radium toxicity and its complications.
Related clinical specialism: Urology, Oncology, Radiotherapy
Caldribine (Mavenclad)
AAC
Description: A tablet for rapidly evolving severe relapsing remitting multiple sclerosis (MS). Reduces relapse by 58% and risk of disability by 33%.
Related clinical specialism: Neurology
gammaCore
ITP
Description: Patient-handheld medical device that enables self-administering discrete doses of non-invasive vagus nerve stimulation (nVNS) therapy for the treatment of cluster headache. Reduces need for medication, increases self-management.
Related clinical specialism: Neurology
SecurAcath
ITP
Description: Subcutaneous catheter stabilization device with small nickel feet placed just beneath the skin at the insertion site. Reduces need for adhesive dressings, cleaning time and dislodgement rates.
Related clinical specialism: IV access: safety device for PICC lines.
Non-Injectable Arterial Connector Implementation
ITT
Description: Arterial connecting systems to reduce bacterial contamination and the accidental administration of medication – Although rare, accidental injection of intravenous medication into an atrial line can lead to catastrophic injuries which sometimes require major amputations. Innovations that ensure this does not happen will increase patient safety in NHS hospitals.
Related clinical specialism: Intensive care, Coronary care
PneuX
ITT
Description: A silicone cuffed endotracheal tube with an electronic cuff monitoring and inflating device. Prevents leakage of bacteria-contaminated secretions to the lung, lowering the rate of ventilator-associated pneumonia by 50%.
Related clinical specialism: Intensive care
MyCOPD
ITT
Description: Education, assessment, self-management, symptom reporting and pulmonary rehab app. It enables clinician remote monitoring and self-management and reduces hospital admissions.
Related clinical specialism: Respiratory, Pulmonary rehabilitation, Primary care, Digital programme leads
