Clinical Utilisation Review Software

NHS England are looking to engage with organisations who provide Clinical Utilisation Review (CUR) Software Tools. CUR is a clinical decision support tool that enables clinicians to make objective, evidence-based assessments of whether patients are receiving the right level of care in the right setting, at the right time based on their individual clinical need. • CUR improves patient flow, identifying patients who should never have been admitted and demonstrating whether or not patients are clinically appropriate for the level of care they are receiving. • CUR supports organisations to tackle delayed transfers of care, stranded patients and will help NHS Trusts achieve the required 25% reduction in stays longer than 3 weeks.

Successful healthcare organisations worldwide have embraced this approach to improve patient outcomes and satisfaction. As a result, the appropriate CUR tools can play a significant role in supporting the emerging new models of care and is an essential function of successful Integrated Care Systems.

There are a variety of patient flow offerings from different vendor operational systems such as PAS, EPR, bed management, patient tracking / white board systems, and SAFER when compared to CUR systems.

All of these operational systems, whilst delivering elements of a patient flow solution, importantly do not match the requirements of a CUR system, either individually or combined because it is the logical test to a clinical criteria set that determines a CUR solution.

CUR systems are built on robust, underpinning medical intelligence in the form of international evidence-based clinical criteria / guidelines. These guidelines are used to determine whether a patient is at the correct level of care (right care, right time, right place) and determine whether a patient is being managed in the most appropriate care setting.

CUR is an important continuous quality improvement process. Routine, ongoing, day-to-day use of CUR (alongside clinical workflow) can support providers to deliver the highest quality of clinical services that provides the best value for system resources in order to deliver an affordable health and social care system.

Through CUR tools, organisations are able to objectively answer three key questions from daily patient level assessment:-  Did the patient qualify for their current level of care?  If not, was there a suitable alternative level of care? If so, why wasn't the patient there and how can this be resolved?

With this intent, NHS England is inviting organisations who provide Clinical Utilisation Review (CUR) Software Tools to express an interest by completing the attached Expression of Interest form.

Please email to [email protected] by no later than 5.00pm on Thursday 6th December 2018.