Evaluation of modernisation of adult critical care services in England

Evaluation of modernisation of adult critical care services in England: time series and cost effectiveness analysis. BMJ 2009;339:b4353

Hutchings, A., et al.

http://sccmwww.sccm.org/publications/eNewsletters_Archive/11_19_2009.htm#n1
(Click on link: British Medical Journal, full text)

Objective: To evaluate the impact and cost effectiveness of a programme to transform adult critical care throughout England initiated in late 2000. Design: Evaluation of trends in inputs, processes, and outcomes during 1998-2000 compared with last quarter of 2000-6.
Setting: 96 critical care units in England. Participants: 349 817 admissions to critical care units. Conclusion: Substantial improvements in NHS critical care have occurred in England since 2000. While it is unclear which factors were responsible, collectively the interventions represented a highly cost effective use of NHS resources.