Three sites where hospital admission rates for people aged 85 years and over had risen sharply, and three sites where these rates had declined, were studied in order to investigate local differences in strategies for avoiding the need for hospital admissions, whether by early intervention and prevention of medical crises and / or by offering better care at home or in the community.
The local sites most successful at reducing admissions tended to provide alternatives to short-stay hospital admission, involving integrated community services working with collaborative involvement of hospital and GP services. Recommendations are supplied for local commissioners.
Wilson, A. Baker, R. [and] Bankart, J. [et al] (2015). Establishing and implementing best practice to reduce unplanned admissions in those aged 85 years and over through system change [Establishing System Change for Admissions of People 85+ (ESCAPE 85+)]: a mixed-methods case study approach. Health Services and Delivery Research. August 2015; Vol. 3(37).
Possibly also of interest, on the role of community health services in easing winter pressures on hospitals.
Easing winter pressures: Bringing healthcare to homes. London: BBC Health News (Scrubbing Up), October 16th 2015.
Possibly of interest:
Triggle, N. (2016). How red bags are bringing NHS and care homes closer. London: BBC Health News, June 27th 2016.
Possibly also of interest, regarding World Continence Week and the Sutton Homes of Care Vanguard:
In the vanguard of new care – Dr Stephanie Machin. [Online]: NHS England, June 23rd 2016.