NHS efficiency map

Emma Knowles

24 January 2019


The HFMA, NHS Improvement and NHS England have worked in partnership to update and revise the NHS efficiency map. The map is a tool that promotes best practice in identifying, delivering and monitoring cost improvement programmes (CIPs) and quality, innovation, production and prevention (QIPP) schemes in the NHS. The map contains links to a range of tools and guidance to help NHS bodies improve their efficiency.

The national focus on improving efficiency and productivity will mean taking local action to deliver savings remains a priority for all NHS organisations. Aimed at NHS finance directors and their teams and other NHS staff with an interest in the delivery of CIPs and QIPP schemes, the purpose of the NHS efficiency map is to highlight existing resources on eliminating waste, increasing efficiency and at the same time improving quality and safety.

The map is split into three sections: enablers for efficiency, service efficiency and system efficiency. The map highlights the successes some NHS organisations have had in delivering specific efficiency schemes and provides sign-posts to existing tools and reference materials.

As well as additional provider efficiency material the map has now been updated with a number of tools and guidance suitable for commissioning organisations, reflecting increased collaboration and integration. Therefore, the provider efficiency section has been appropriately renamed as service efficiency.

The map will continue to be updated as new tools and case studies are produced:

The HFMA case studies produced to date are:


Case study: Ambulance fuel - January 2018

Case study: Redesigning mental health services - December 2017

Case study: Reshaping cancer care - December 2017

Case study: eProcurement - December 2017

Case study: Developing online services - December 2017

Case study: Engaging staff with the efficiency agenda - September 2017

Case study: Theatre management - May 2017

Case study: Saving on printing costs - March 2017

Case study: Patient blood management - March 2017

Case study: Turning around procurement function - January 2017

Case study: Managing cost improvement programmes - January 2017

Case study: Improving arrangements for enhanced nursing care - December 2016


Last updated: January 2019


NHS efficiency map

January 2019 (PDF 653KB)