The RUP programme has now closed but you may find the below resources useful. Please note the information on this webpage was correct at the time of publication.
To March 2023, the Health Innovation Networks supported adoption of a number of transformative technologies and medicines through the Rapid Uptake Products (RUP) programme. The programme was designed to support stronger adoption and spread of proven innovations. It identified and supported products with NICE approval that aligned to the NHS Long Term Plan’s key clinical priorities, but had lower-than-expected uptake to date.
Three innovations were supported through the 2022/2023 RUP Programme:
- Measuring fractional exhaled nitric oxide (FeNO) concentration in asthma
- Lipid Management – please note the broader AHSN Network CVD programme continues.
- Biologics for treating severe asthma
Measuring fractional exhaled nitric oxide (FeNO) concentration in asthma: products NIOX VERO and NObreath
FeNO (fractional exhaled nitric oxide) is a point of care test to measure type two inflammation in airways, which supports faster and more accurate asthma diagnoses.
Following receipt of Pathway Transformation Funding for two projects in 2021, we supported the implementation of FeNO testing in primary care across our ICS to March 2023.
Project evaluations and case study
Our FeNO projects in Gloucestershire and Bath, North East Somerset, Swindon and Wiltshire (BSW) have been evaluated:
- Read our FeNO programme case study
- Read more about the positive impacts of the Gloucestershire project.
- Explore the successes achieved in BSW.
Outside of these formal projects, we also worked with Bristol, North Somerset and South Gloucestershire (BNSSG) to drive adoption and spread of FeNO testing. Review our BNSSG summary graphic and work with Swift Primary Care Network.
Read our FeNO patient stories to hear more about how the test improved asthma diagnosis across the West of England.
Watch a short video from Bristol, North Somerset and South Gloucestershire ICB which showcases Tom’s journey to asthma diagnosis and how access to a FeNO machine helped.
Health Education England (HEE) eLearning for healthcare have developed a number of FeNO eLearning modules.
In a podcast from the Health Innovation Network, host Dr Phil Jennings talks to severe asthma sufferer Emma Thompson and Carol Stonham, a Senior Nurse Practitioner and the Executive Chair of the Primary Care Respiratory Society, about FeNO testing and its benefits. Listen to the Health Innovation Podcast.
Lipid Management: High Intensity Statins, Ezetimibe and PCSK9 inhibitors
The Rapid Uptake Product (RUP) for lipid management was a novel, NICE-approved clinical pathway. This innovation aimed to improve a person’s lipid profile, by reducing cholesterol concentration in blood by treating patients with the right medicine along the evidence-based pathway. The pathway included three medicines: high intensity statins (HIST), ezetimibe, and PCSK9 inhibitors (continued from 2019/20).
Outside of the RUP lipids programme, we are continuing to supporting a national programme focused on tackling cardiovascular disease through embedding a new lipids pathway, identification of Familial Hypercholesterolaemia and the roll out of inclisiran. Read more about our CVD programme.
Following receipt of Pathway Transformation Funding in 2021, we worked with five GP practices across One Gloucestershire using search options within practice databases to identify patients at risk of raised cholesterol who would benefit from a detailed medication review:
Biologics for treating severe asthma: Reslizumab, Benralizumab, Mepolizumab and Omalizumab
Around 1,400 people each year die from a severe asthma attack; and asthma deaths are 50 per cent more likely in poorest areas compared with the richest. Biological therapies can transform patient lives by reducing long-term side effects of other treatments (e.g. oral corticosteroids) and can also reduce the number of exacerbations and life-threatening asthma attacks. We supported this RUP innovation to March 2023.
Following a successful bid in April 2021 to the Pathway Transformation Fund, Health Innovation South West and Health Innovation West of England were awarded £129,000 funding for two projects focused on the treatment of severe asthma. We worked alongside the South West Severe Asthma Network and 10 acute trusts on a project focused on adults. In a separate project, we also worked with Bristol Royal Hospital for Children to improve access to asthma biologics for children. Read about the project successes and learning here.
A new set of standards (launched in June 2022 by Health Innovation Oxford and Thames Valley) aim to lead to better care for adults with uncontrolled and severe asthma. The consensus pathway is intended to be a blueprint, guiding clinicians, managers and commissioners on what optimal care should look like across the entire patient journey and leading to real improvements in outcomes. Access full and summary versions of the pathway.
Health Innovation Oxford and Thames Valley created an online toolkit to support healthcare professionals involved in care for patients with asthma.
Next steps for the RUP programme
The national FeNO and Asthma Biologics programmes have now completed and have made substantial contributions to the transformation of asthma care in England while significantly increasing the access to and adoption of FeNO and asthma biologics. Learning is being fed into the development of NICE/SIGN/British Thoracic Society asthma guidance, expected in 2024, offering real-world insights into implementation considerations.
The lipid management element of the RUP programme continues as part of the national Health Innovation Network CVD programme.
There are opportunities to continue this work and improve asthma care by enhancing the rollout of the innovations and ensuring more patients can benefit.
The Health Innovation Network is now transitioning to support healthcare inequalities as a national priority as part of NHS England’s Innovation for Healthcare Inequalities Programme (InHIP).
Rapid Uptake Products 2019/20
Three Rapid Uptake Products from the 2019/20 programme continued throughout 2020/21:
- Placental growth factor (PIGF) based tests to help rule out pre-eclampsia quickly so that pregnant women receive the most appropriate care. Read more about this life saving world-first test for pregnant women.
- HeartFlow FFRCT – analysis which creates a 3D model of the coronary arteries to help clinicians to rapidly diagnose patients with suspected coronary artery disease from coronary CT angiography.
- PCSK9 inhibitors – PCSK9 inhibitors are for the treatment of very high cholesterol, and are used together with a statin-type cholesterol-lowering medicine, or for patients who are unable to take or tolerate a statin. Read our news article about how we worked with Healthier Together to improve uptake of PCSK9i across Bristol, North Somerset and South Gloucestershire.