The facts below
were taken from a seminar held on 26 March 1996 and explain the initial driving force behind the development of the Atebion
software. I hope you find it interesting and we would like to know your comments.
By 1996 the DataTree costing
program was used in 300 out of 450 NHS acute Hospital Trusts in the UK and over 100 hospitals abroad, mainly for detailed
costing in pathology and radiology. In 1995 an orthopaedic consultant built up detailed cost profiles for each procedure using
DataTree, believing the government when they stated that money will follow patients, he wanted to build a centre of excellence
but he lost some major contracts that went down the road. Down the road could do it cheaper BUT price suppose to equal
cost in the NHS and what was alarming was that at this time there was over sixty different types of replacement hips
commercially available in Britain but British follow up data exist for only five. (Bulstrode 1995). The range of cost across
these different types was very considerable..
So was the reliability
Some results of Total
- Charnley 10 years 92% OK irrespective of age, sex or Diagnosis
7 years 60-80% OK
5 years 2% OK
These results were
taken from records kept in Sweden. The Swedes were the only people who had analysed the failure rates.
Some results of Total Knee
- LCD 10 years 95% OK
10 years 60-70% OK
10 years 65% OK
On looking at comparative
hip and knee prices by trust for the Region, the orthopaedic consultant stated that he knew they couldn’t put in a Charnley
The following charts
that were presented showed their trust was not doing awfully well. Why? At least one reason was that they used Charnley and
LCD prostheses which make no sense if we are looking simply at current year costs.
this time the Governments emphasis went away from detailed costing and over the coming years a number of scandals regarding
prostheses occurred but no one seemed really interested in pain and suffering, the same in other areas like looking after
the elderly that have been diagnosed as EMI (Elderly Mentally Infirm).
Only time will tell but Barry Phillips believed one
day senior managers will be interested in looking at cost against quality, against outcome, with contract monitoring and resource
optimization over more than a 12 month budget, Barry set about to design a program to handle all. A tall order, one that was
beyond the programmers employed at the time so he sent his close colleague Angus Richardson off to Russia to team up with
Russian programmers lead by Alexander Lesnikov who also had ambitions to develop a World Class Mathematical Modelling program.
So, after nine years and achieving their aims, Barry and Alexander
formed AtebIT Limited in 2004 and today they have a software program that is believed to get over the main weaknesses
of spreadsheets and professional mathematical programs.