Models of Care for High-Need, High-Cost Patients

"This brief analyzes experts’ reviews of evidence about care models designed to improve outcomes and reduce costs for patients with complex needs. It finds that successful models have several common attributes"

Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis
D McCarthy, J Ryan, S Klein
The Commonwealth Fund
October 2015

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Proactive care programme: CCG support for implementation

"This document is supporting guidance for CCGs for the Avoiding Unplanned Admissions enhanced service (ES) which is designed to help reduce avoidable unplanned admissions by improving services for vulnerable patients and those with complex physical or mental health needs, who are at high risk of hospital admission or re-admission."

Proactive care programme: CCG support for implementation
NHS England
May 2014

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Comorbidities: a framework of principles for system-wide action

"This framework sets out the challenges for the wider health and care system in addressing comorbidities and proposes a set of interconnected principles to consider in the design of systems and services to prevent and treat comorbidities."

Comorbidities: a framework of principles for system-wide action
Department of Health
April 2014

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Transforming primary care

"By freeing up time and redirecting several hundred million pounds of public funding for hard pressed family doctors as well as nurses and other community health staff, the aim is to bring about broad-based improvement in care for our highest need patients."

Transforming primary care: safe, proactive, personalised care for those who need it most
Department of Health, NHS England
April 2014

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Managing patients with complex needs

"The main conclusion is that the service improves health outcomes and leads to a reduction in health service use in both primary and secondary care settings. The financial savings from reduced service use are equivalent to about a third of PCPCS treatment costs."

Managing patients with complex needs: Evaluation of the City and Hackney Primary Care Psychotherapy Consultation Service
M Parsonage, E Hard, B Rock
Centre for Mental Health
March 2014

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