Cardiovascular disease integrated care pilot to improve patient outcomes closer to home

"Within the context of a growing elderly population and better survival of people with CVD conditions, this project aimed to support patients to remain in the community for as long as is clinically possible, avoid hospital admissions and reduce length of stay."

Cardiovascular disease: integrated care pilot to improve patient outcomes closer to home
British Heart Foundation
NICE Quality and Productivity case study
May 2016

Read more here.

Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care

"The principal component of this initiative is for a multidisciplinary Alcohol care team in each district hospital, led by a consultant with designated sessions, who will collaborate across hospitals and primary care, to develop a coordinated alcohol treatment and prevention programme. This team would organise systematic interventions and alcohol specialist nurses."

Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care (Quality and Productivity case study)
The British Society of Gastroenterology and the Royal Bolton Hospital NHS Foundation Trust
NICE
March 2016

Read more here.

Implementing the NICE guideline on Transition between inpatient hospital settings and community or care home settings for adults with social care needs

"Overall, it is expected that implementing the guideline will be cost saving. Implementing the guideline is likely to have resource implications (both costs and savings) for health and social care commissioners and for providers"

Implementing the NICE guideline on Transition between inpatient hospital settings and community or care home settings for adults with social care needs (NG27) 
NICE (Costing statement)
December 2015

Read more here.

Three things the NHS must do to manage clinical risk

"Every hospital admission or discharge should have an explicit understanding and agreement of risk. Unless we support clinicians to take only appropriate, managed risk, we will not succeed in truly integrating care"

Three things the NHS must do to manage clinical risk
J Inglesfield
Health Service Journal
October 2015

Read more here.

Crisis response falls team: reducing admissions and repeat falls

"This initiative saves money by reducing the proportion of falls related calls that result in hospital admission. From over 1300 referrals accepted by the CRFT in Northamptonshire in 2012, just over 1000 admissions were avoided." 

Crisis response falls team: reducing admissions and repeat falls
East Midlands Ambulance Service NHS Trust
QIPP Case Study
August 2014

Read more here.

Prevalence and severity of patient harm detected by the Paediatric Trigger Tool

"There is a significant, measurable level of harm experienced by children admitted to hospitals in the UK. While most of this harm is temporary, some of it is serious. The UKPTT offers organisations the means to measure and examine the adverse events occurring in their hospital in order to reduce harm."

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool
SM Chapman, J Fitzsimons, N Davey, P Lachman
BMJ Open, 2014; 4: e005066

Read more here.

Alcohol care teams: reducing acute hospital admissions and improving quality of care

This QIPP case study recently won a BMJ Award.

Quality and Productivity: Proven case study: alcohol care teams: reducing acute hospital admissions and improving quality of care 
The British Society of Gastroenterology and Bolton NHS Foundation Trust
Updated May 2014

Read more here.

Unlocking the power of information

"Part of the Smart Guides to Engagement series, this guide helps clinical commissioning groups (CCGs) and service providers understand how information is the foundation for effective engagement with patients so that they can become partners in decision-making about their own health and care."

Smart guides to engagement: Unlocking the power of information
M Duman
NHS Networks
December 2013

Read more here.

Hospital readmission performance and patterns of readmission

"These findings suggest that lower readmission rates might best be achieved through use of general strategies and capacities that lower readmission risk globally rather than for specific diagnoses or time periods after admission."

Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions
K Dharmarajan, et al.
British Medical Journal, 2013, 347:f6571

Read more here.

Is the quality of care in England getting better?

"The ability of the health system in England to monitor quality is increasing and, partly in response to the Francis Inquiry, there have been large changes in the range of ways that quality is assessed and measured."

Is the quality of care in England getting better? QualityWatch Annual Statement 2013
The Health Foundation, Nuffield Trust
November 2013

Read more here.

Emergency admissions to hospital: managing the demand

"Once patients are admitted, hospitals, working with community and social care services, can ensure that patients stay no longer than necessary and are discharged promptly."

Emergency admissions to hospital: managing the demand
Department of Health
National Audit Office
October 2013

Read more here.

Inner North West London Integrated Care Pilot

"The North West London Integrated Care Pilot (ICP) is a large-scale innovative programme designed to improve the coordination of care for people over 75 years of age, and adults living with diabetes."

Evaluation of the first year of the Inner North West London Integrated Care Pilot
Nuffield Trust
May 2013

Read more here.

Elective hospital admissions, waiting times and patient experience

"This Briefing will help non-executive directors (NEDs) better understand NHS data and how it can be used to determine what is going on in their hospital."

The non-executive directors' guide to hospital data: Part two: Elective hospital admissions, waiting times and patient experience
Hospitals Forum briefing
NHS Confederation
May 2013, Issue 263

Read more here.

National report of the National Hip Fracture Database

"While the challenges of improving post-acute care are recognised as substantial, greatly improving its documentation will provide a basis for comparisons that will be of interest not only to patients and their carers, but to acute and post-acute clinical teams, and to agencies commissioning hip fracture care – agencies which are likely to value cost-effectiveness, especially when it is linked to higher quality care....This Supplement to the National Hip Fracture Database 2012 National Report extends the findings of that Report and should be read in conjunction with it."

The National Hip Fracture Database National Report 2012 - supplement
National Hip Fracture Database
March 2013

Read more here.

The business case for people powered health

"The Business Case for People Powered Health describes the specific investments required to create services with a People Powered Health approach, and the practical benefits that can be achieved as a result."

The business case for people powered health
NESTA
April 2013

Red more here.

Managing multi-morbidity in practice

"Learning from those sites who responded to the survey suggests there is a need for multimorbid disease management templates and care pathways, and that integrated working with community teams, including pharmacists, can improve outcomes, with the potential to reduce overall consultation times, increase patient satisfaction, reduce polypharmacy and reduce hospital admissions."

Managing multi-morbidity in practice…what lessons can be learnt from the care of people with COPD and co-morbidities?

NHS Improvement
March 2013

Read more here.

Best practice for commissioning diabetes services

"Providing better integrated diabetes care has been shown to improve patient experience, quality of clinical care and reduce hospital admissions for vulnerable patients."

Best practice for commissioning diabetes services: an integrated care framework
NHS Diabetes
March 2013

Read more here.

Latest evidence from NHS Evidence QIPP

QIPP Evidence provides users with practical case studies that address the quality and productivity challenge in health and social care. All examples submitted are evaluated by NICE. This evaluation is based on the degree to which the initiative meets the QIPP criteria of savings, quality, evidence and implementability. These are the latest QIPP case studies:

• Children and young people cancer survivorship initiative: improving quality and the patient experience
• Service redevelopment: integrated whole system services for people with dementia
• Reducing hospital admission rates for people with diabetes: a systematic approach to improving primary care outcomes

Access more QIPP initiatives here.

Choosing the place of care

"This report has described how locations of outpatient attendance and inpatient admission have changed since the introduction of patient choice in 2006 and the expansion of independent sector treatment centres (ISTCs) from 2007 onwards."

Choosing the place of care: the effect of patient choice on treatment location in England, 2003-2011
E Kelly, G Tetlow
Nuffield Trust
November 2012

Read more here.

Impact of telehealth on use of hospital care and mortality

"Over the 12 months that they spent in the trial, patients allocated to receive the telehealth intervention had fewer emergency hospital admissions."

The impact of telehealth on use of hospital care and mortality
A Steventon, M Bardsley
Nuffield Trust
June 2012

Read more here.