Annual costs were projected to decrease by £3.38 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 £724,800 £906,000 £1,087,200 £1,351,988
300 users £1,087,200 £1,359,000 £1,630,800 £2,027,981
400 users £1,449,600 £1,812,000 £2,174,400 £2,703,975
500 users £1,812,000 £2,265,000 £2,718,000 £3,379,969
600 users £2,174,400 £2,718,000 £3,261,600 £4,055,963

Evidence stats

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

  • 4.53

    Fewer OBD per patient per year

  • £1,492

    Estimated cost per OBD in Scotland

Table supplement

More information on the data presented

  • 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. In March 2021, 'RECEIVER' recruitment was paused and a 'Dynamic-Scot' cohort was established through remote recruitment in the Covid-19 service scale-up to routine care. The protocol is published here with the full results available here.

RECEIVER: Digital Service Model for Chronic Obstructive Pulmonary Disease (COPD)
  Control RECEIVER Dynamic-Scot 1 Service users
Inclusion Criteria

Selected from the NHS Greater Glasgow and Clyde SafeHaven dataset.

Diagnosis of COPD + a COPD-related hospital admission within a 14-day window of a reference RECEIVER trial participant's onboarding date were criteria for entry.

From these criteria, the optimal ~5 matches for each RECEIVER participant were determined based on sex and age whilst excluding duplicate control patients or individuals subsequently onboarded to Lenus COPD.

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. Onboarded at least 365 days before 31/08/2021 (the data censor date for analyses). RECEIVER and Dynamic-Scot 1 participants.
1st Participant Index Date 3rd September 2019 3rd September 2019 15th May 2020 3rd September 2019
Censor Date 31st August 2021
Total Patients 405 83 142 225

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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