The EVO framework is being developed for NHS trusts to facilitate the involvement of multidisciplinary teams in the understanding and local use of patient-level information and costs (PLICS). Using this information, teams can evidence the relationship between existing improvement cycles and value in healthcare.

Programmes using this data are well documented in the NHS. Good examples can be seen in the clinical practice groups at the Royal Free London NHS Foundation Trust, in the wave programme at Nottingham University Hospitals NHS Trust and in the waste reduction programme at Leeds Teaching Hospitals NHS Trust.

The initial and continued development of the EVO framework was inspired by these implementations, with the ultimate purpose being to improve clinical efficiency and productivity to achieve the best outcome for the patient.

The EVO pilot, initially developed by Future-Focused Finance and the Healthcare Costing for Value Institute, took place in 2019 with four trusts, covering acute, mental health and community services. A summary of the pilot can be found here and the case studies from the pilot sites are available below.

Since the well-received pilot, EVO has undergone significant development. The Finance Innovation Forum and Future-Focused Finance, together with a wide number of NHS teams, healthcare associations and subject matter experts, have collaborated to launch an open-source model of the EVO framework in 2023.

EVO 1.0 promotes collaborative working between clinical and finance teams and their collective understanding of PLICS data, in terms of value providing the NHS with a process to ensure resources are used in the most effective way possible to provide high-quality care to patients.