Essential reading for the healthcare business
Remember me:
Skip Navigation LinksHealthInvestor article
Hospital admissions plummet in integrated care pilots

Well-managed integrated care can reduce hospital admissions for elderly patients by at least a fifth, new research suggests.

The Integrated Care Pilot programme, commissioned by the Department of Health, involved 16 sites across England. These piloted different ways of integrating care, such as between general practices, community nurses, hospitals and social services.

The two-year study, carried out by Ernst & Young, RAND Europe and the University of Cambridge, analysed staff and patient views on the work of the pilots as well as the impact on hospital admissions and lengths of stay in hospital.

Overall, findings showed that 54% of staff involved thought patient care had improved as a result of the pilots, while 72% reported that they had better communication with other organisations.

In pilots where case managers were appointed to coordinate the care of elderly patients at risk of hospital admission, outpatient visits decreased by 22% and planned admissions by 21%. This led to an overall fall of 9% in the cost of hospital care.

However, the study also concluded that integrated care initiatives would not necessarily save money in the long run. It showed too, that patient satisfaction did not increase.

Compared to before the pilots, 28% fewer patients felt their GP had involved them in decisions about their care, and 9% fewer said they saw the GP they wanted to at their surgery.

The report said: “Patients did not, in general, share the sense of improvement. This could have been because the process changes reflected the priorities and values of staff; because the benefits had not yet become apparent to service users; because of poor implementation; or because the interventions were an ineffective way to improve patient experience.”

Commenting on the pilots, care services minister Paul Burstow said: “This report is an important wake-up call, showing that actioning more integration is challenging even when organisations volunteer to collaborate. Our health reforms put in place the legal framework to support greater integration but to succeed it will require leadership at every level.”

Posted on: 26/03/2012

Latest news stories

Target Healthcare has completed the acquisition of a new development site in Rudheath, Cheshire for £9.7 million.
A real estate fund advised by Elevation Advisors, Elevation Healthcare Properties (EHP), has acquired the freehold interest of six care homes operated by Tanglewood Care Homes.
Two hospitals due to be built by defunct engineering giant Carillion won’t be completed for several years, according to an official report released by the National Audit Office.
KIMS Hospital has acquired Sevenoaks Medical Centre in Kent.
The Royal College of Nursing has suspended its strike action in Northern Ireland after receiving a detailed framework on pay parity and safe staffing from health minister, Robin Swann.


HealthInvestor blog
It’s almost upon us: the most significant general election for generations, according to the historians and political pundits, the result of which will define the UK’s role on the world stage for decades to come...

Click here to view the HealthInvestor blog

‘Jefferies healthcare temperature check’ report, released on 20 November, indicated that leaders in the private healthcare sector remain relatively positive for 2020. Jenna Lomax explains that more investor activity is expected next year but Brexit uncertainty still casts its cloud
HealthInvestor UK’s editorial team bring you the highlights from the 2019 Summit
Kathy Oxtoby examines the trends and opportunities available in the UK dentistry market and talks to some of the key players
The NHS is facing unprecedented challenges, while some independent specialist hospitals are under severe scrutiny. Jenna Lomax delves into this year’s ‘State of care’ report from the Care Quality Commission which explains why some sectors are facing “unacceptable challenges”
Jenna Lomax reflects on 2019

Click here to search all feature articles

Digital primary care

Earlier this year, the UK digital primary care market felt full of potential for investors but who are the players and what are the products that stand out now that the dust has settled? Kathy Oxtoby investigates
Read more

Christie + Co

my images

Domiciliary Care
Rob Munro talks to the head of one of the country's leading domiciliary care providers about challenges and opportunities in a sector where many companies have foundered
Read more