Moving healthcare closer to home


Support for providers and commissioners to make evidence-based appraisals of how the benefits compare with the costs of various approaches to move care closer to home.

The Five Year Forward View has encouraged efforts to deliver more healthcare out of acute hospitals and closer to home, with the aim of providing better care for patients, cutting the number of unplanned bed days in hospitals and reducing net costs.

Providers and commissioners considering strategic changes to the way in which services are delivered need to agree what they wish to achieve and understand the range of options. They then need to be able to assess the impact on quality and outcomes for patients and finances for the local health economy of each scheme.

This project examined cases where provision of non-elective care moved from an acute hospital to the community, and led to the development of resources to support the sector in planning new care models. 

Includes a summary of findings, details of analysis, practical tools to support providers and commissioners and a set of case studies on schemes to avoid emergency admissions to acute hospital or to discharge patients more quickly.

Learning from NHS staff who have delivered schemes

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