Evaluating Cost-Consequences and Digital Transformation Through Concentric Consent: An Impact Assessment at Oxford University Hospitals NHS Foundation Trust
Author(s)
Rayan Altayeb, Masters, Lauren Hudson, Graduate, Guy Checketts, Graduate, Flora Gleave, Graduate, James Rose, BSc, PhD, Mamta Bajre, MSc.
Health Innovation Oxford and Thames Valley, Oxford, United Kingdom.
Health Innovation Oxford and Thames Valley, Oxford, United Kingdom.
OBJECTIVES: To assess the preliminary cost-consequences and digital transformation impact of implementing Concentric, a digital consent platform, in the Ophthalmology department at Oxford University Hospitals NHS Foundation Trust (OUH), compared to traditional paper-based consent processes.
METHODS: A mixed-methods impact assessment was conducted, combining a stakeholder engagement study with a cost-consequence analysis. Real-world operational data were used to model consent volumes (mean 825/month), staff time per episode, and rates of incomplete forms (1.95%) and treatment delays (1.6%). Implementation costs included software licences, devices, and training. Economic modelling followed NICE reference case methodology from the NHS and Personal Social Services perspective, using 8-month and 3-year horizons. Historical medicolegal exposure (2% claim incidence; £25,000 per claim) was incorporated. A focus group of 11 multidisciplinary staff provided qualitative and semi-quantitative feedback on usability, integration, and perceived digital transformation, analysed thematically and rated on a 5-point Likert scale.
RESULTS: Concentric implementation demonstrated clear cost-savings and digital transformation benefits. Over 8 months, cost savings totalled £37,209, primarily from reduced staff time. Projected 3-year savings reached £167,437. The cost per consent episode decreased from £25.18 (paper) to £19.54 (digital), with a 7.14-minute time saving per episode. No missed consent forms or consent-related medicolegal claims were reported post-implementation of Concentric. Stakeholders reported improved workflow efficiency, faster access to records, and enhanced patient engagement. The platform was perceived as secure, intuitive, and a significant step forward in digital maturity.
CONCLUSIONS: The Concentric digital consent platform delivered measurable cost savings and operational efficiencies, while advancing digital transformation in clinical workflows. High staff satisfaction and elimination of consent-related risks support its broader adoption across NHS settings
METHODS: A mixed-methods impact assessment was conducted, combining a stakeholder engagement study with a cost-consequence analysis. Real-world operational data were used to model consent volumes (mean 825/month), staff time per episode, and rates of incomplete forms (1.95%) and treatment delays (1.6%). Implementation costs included software licences, devices, and training. Economic modelling followed NICE reference case methodology from the NHS and Personal Social Services perspective, using 8-month and 3-year horizons. Historical medicolegal exposure (2% claim incidence; £25,000 per claim) was incorporated. A focus group of 11 multidisciplinary staff provided qualitative and semi-quantitative feedback on usability, integration, and perceived digital transformation, analysed thematically and rated on a 5-point Likert scale.
RESULTS: Concentric implementation demonstrated clear cost-savings and digital transformation benefits. Over 8 months, cost savings totalled £37,209, primarily from reduced staff time. Projected 3-year savings reached £167,437. The cost per consent episode decreased from £25.18 (paper) to £19.54 (digital), with a 7.14-minute time saving per episode. No missed consent forms or consent-related medicolegal claims were reported post-implementation of Concentric. Stakeholders reported improved workflow efficiency, faster access to records, and enhanced patient engagement. The platform was perceived as secure, intuitive, and a significant step forward in digital maturity.
CONCLUSIONS: The Concentric digital consent platform delivered measurable cost savings and operational efficiencies, while advancing digital transformation in clinical workflows. High staff satisfaction and elimination of consent-related risks support its broader adoption across NHS settings
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
EE431
Topic
Economic Evaluation, Health Service Delivery & Process of Care, Real World Data & Information Systems
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies
Disease
Sensory System Disorders (Ear, Eye, Dental, Skin)