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Improving Outcomes and Improving Efficiency 25 January 2011 - London Total Place Project – Older People Andrew Archibald – Dorset County Council
The vision A shared commitment to improving outcomes for older people at less cost by… ...reshaping secondary care and community services, a sustained investment in well being and prevention and more integrated commissioning and provision A brave step to deliver a shock to the system
Implementing the vision A – (B+C) = Y A is the saving, by reducing the number of people avoidably receiving secondary care or long term residential care; B is the cost of meeting needs in alternative ways; C is cost of increased provision in well-being and early intervention; and Y is the reduction in overall expenditure.
Diversion from “acute” care A – (B+C) = Y Reduction in unplanned admissions in acute care – 15% > 65 (£18m) Reduction in care home admissions
Community services A – ( B +C) = Y Alternatives to Hospital Care - Care Closer to Home
Rapid / crisis response
Reablement / Rehabilitation
End of Life Care
Case finding and management
Expanded role of GP’s – “GP’s as providers as well as referrers”