Annual costs were projected to decrease by £3.53 million with a reduction in healthcare resource utilisation associated with occupied bed days for 500 users

Savings matrix

Projections across service user numbers and bed day costs

  £800/obd £1,000/obd £1,200/obd £1,492/obd
200 users £758,400 £948,000 £1,137,600 £1,414,416
300 users £1,137,600 £1,422,000 £1,706,400 £2,121,624
400 users £1,516,800 £1,896,000 £2,275,200 £2,828,832
500 users £1,896000 £2,370,000 £2,844,000 £3,536,040
600 users £2,275,200 £2,844,000 £3,412,800 £4,243,248

Evidence stats

How the Lenus Service can reduce costs associated with healthcare resource utilisation

  • £3.53m

    Projected annual savings per 500 patients

  • £1,492

    Est cost per OBD x 4.74 days saved per patient

Table supplement

More information on the projections

  • Cost per occupied bed day in 2017/18 period was £1,190, a 25.4% increase on the 2013/14 period (information services division, NHS Scotland).​
  • Applying this same increase, the cost per occupied bed day is taken to be £1,492.26 in 2022.

Study details Identifier: NCT04240353

The feasibility and service adoption observational cohort RECEIVER trial was commenced in September 2019 by NHS Greater Glasgow and Clyde to evaluate the implementation and efficacy of the Lenus COPD Service with high-risk COPD participants matched 1:5 to a control cohort using de-identified contemporary routine clinical data. The protocol is published here with the full results available here.

RECEIVER: Digital Service Model for Chronic Obstructive Pulmonary Disease (COPD)
  Control RECEIVER
Inclusion Criteria

Selected from the NHS Greater Glasgow and Clyde Safe Haven COPD dataset. Control cohort identification was conducted by iteratively identifying the individuals in the cohort who met the matching criteria for each RECEIVER participant. Duplicate control patients or individuals subsequently onboarded to Lenus COPD were excluded and then the optimal 5 matches for each RECEIVER participant were determined based on closest matches by age. The matching criteria were that matched individuals must: be alive at the onboarding date of the RECEIVER participant, be the same sex as the RECEIVER participant, and have had a COPD or respiratory related admission in the 7 days prior to the RECEIVER participant's onboarding date.

At least one severe COPD exacerbation in the year prior to onboarding to Lenus COPD and/or chronic hypercapnic respiratory failure/sleep disordered breathing requiring NIV/CPAP treatment.
1st Participant Index Date 3rd September 2019
Censor Date 31st August 2021
Total Patients 415 83

NICE advice

Medtech Innovation Briefing

The National Institute of Health and Care Excellence (NICE) has developed a medtech innovation briefing (MIB) on Lenus COPD Support Service for remotely managing chronic obstructive pulmonary disease available here.

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