Under the spending review 2004 efficiency programme, the MOD was required to achieve £2.83 billion of cumulative input and output efficiency savings by the end of 2007-08. Deputy Chief of the Defence Staff (Health) Higher Level Budget (DCDS(H) HLB) delivered £102 million of this target in output efficiencies. This was achieved primarily in the patient care pathways through the Defence Rehabilitation Programme. By improving access to diagnosis, rehabilitation and orthopaedic surgery the MOD saved an estimated 1.27 million deployable man-days in 2007-08 that would otherwise have been lost while individuals waited for treatment.
As part of the 2007 financial planning round, further efficiency savings targets of £3.7 million for 2007-08 and £1.4 million for 2008-09 were agreed with the DCDS(H) HLB.