Our Programmes

Enabling people to live well at home, or a homely setting, in their community for longer.

We deliver our support to Integration Authorities through a range of improvement programmes. All of our programmes focus on:

Hospital at Home

Hospital at Home is a short-term, targeted intervention that provides a level of acute hospital care in an individual’s own home, or homely setting that is equivalent to that provided within a hospital. We are providing support to NHS Boards and health and social care partnerships to create Hospital at Home services.

Find out more about the Hospital at Home programme.

Focus on Frailty 

We work with NHS Boards, health and social care partnerships and GP Practices to improve the experience of and access to person-centred, coordinated health and social care for people aged 65 and over who are living with frailty or at risk of frailty.

Applications are open from Monday 13 March 2023 until: 17:00 on Friday 28 April 2023.

Visit the join the programme page for more information and download the application guidance document and application form to join the programme. 

Living and Dying Well with Frailty Collaborative (hibernated)

A large-scale change collaborative which aims to improve earlier identification, anticipatory care planning and shared decision-making, and support a multidisciplinary approach so that people living with frailty get the support they need, at the right time, at the right place.

Find out more about the Living and Dying Well with Frailty Collaborative.

Previous programmes

We have several programmes that have come to an end. Their resources are still available and their learning has been used to inform the design and delivery of our current programmes. These programmes include:

• Improving identification and care co-coordination of palliative and end of life care. March 2017 - March 2019
• Testing and evaluating models of neighbourhood care - Phase 1. March 2017 - March 2019
  Phase 2 of this programme is being delivered by the People Led Care Portfolio. From April 2019
• National approach to anticipatory care planning. February 2016 - March 2019
• Intermediate care and reablement. August 2016 - December 2018
• Developing community frailty and falls pathways. September 2015 - February 2018
• Understanding pathways of high resource individuals. September 2015 - March 2017