Overview

In Scotland, a very small proportion of the population uses half of the total hospital and prescribing budget. In fact:

  • 2% of the population in Scotland used 50% of the hospital and community prescribing resource in 2012/13
  • This translates to 103,715 people using £2.6bn of the hospital and prescribing resources
  • The 2% of the population used 77% of inpatient bed days
  • This translates to 103,715 people using approximately 4.9m bed days (4.4m of these through unplanned admissions1)

There is potential for partnerships to gain a better understanding of how resources are used, and how services are interacted with, in their area, to better align services and improve pathways.

Service Description

Currently working with Health and Social Care Partnerships in Argyle and Bute, Glasgow City, and Midlothian. Other Health and Social Care Partnerships can benefit from the learning by following @LWiC_QI on Twitter, or visiting the Living Well in Communities community of practice website and taking part in national learning events.

Status

Currently working with Health and Social Care Partnerships in Argyle and Bute, Fife, Glasgow City, North Lanarkshire and South Lanarkshire.

Audience

NHS boards and Health and Social Care Partnerships

Benefits of programme

The number of emergency admissions and emergency bed days are important indicators for measuring the effectiveness of integrated care.  An analysis of High Resource Individuals should provide an understanding of the most common pathways for unplanned and multiple admissions and identify areas where action could be taken to prevent future avoidable admissions. Even a modest reduction in High Resource Individuals admissions could make a significant reduction in overall unplanned bed days; with a 5% reduction of High Resource Individual unplanned bed days equating to 220,000 bed days. It is likely that a proportion of High Resource Individuals will also be on a frailty pathway.

Contact

Thomas Monaghan

hcis.livingwell@nhs.net