Across England’s NHS maternity services, a simple step of changing gloves post-placental delivery during caesarean sections could dramatically decrease surgical site infections (SSI) and lead to substantial economic benefits. As maternity wards grapple with budget constraints, adopting this practice not only promises clinical benefits but also economic relief on a large scale.
Study and Analysis
An examination was conducted using a budget impact model over five years, sourcing data from Royal United Hospitals Bath NHS Foundation Trust (RUHB) where 1,590 caesarean births occurred in 2023-24. Researchers employed a 30-day post-discharge survey to gauge current SSI rates, which were then paired with NHS England cost data to evaluate the financial burden of current post-CB SSI treatment pathways.
Utilizing a systematic review and meta-analysis of seven randomized controlled trials, the future costs adjustments were analyzed by applying a relative risk ratio. A sensitivity analysis along with various scenarios contemplated differing CB numbers, SSI rates, and readmission durations to assess uncertainties in the model.
Projected Results
The findings, predicated on a current SSI incidence rate of 15% within 30 days post-discharge, suggest that RUHB could achieve first-year savings of £59,478 with glove changes, cumulating to £339,654 over five years. Major savings stem from reduced community midwife visits and hospital readmissions (£254,507), along with general practices benefitting from £85,147 savings in decreased appointments. Extending these findings nationwide, the analysis projected reduction in economic burden by £45.1 million over five years.
Key inferences include:
- The substantial reduction in community-based follow-ups and hospital readmissions accounts for the most significant cost savings.
- Existing data on post-CB SSI incidence might underreport due to insufficient follow-up.
This study underscores the holistic benefits of such a simple change, emphasizing significant cost reductions and potential improvements in care efficiency. For healthcare systems facing burgeoning pressures, these insights offer clear steps toward enhanced operational capabilities. Incorporating glove changes could be a vital step for maternity services, driving both quality clinical outcomes and pronounced financial sustainability.
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