A long way from Frome: improving connections between patients, local services and communities to reduce emergency admissions.

ABSTRACT:

Background

Low socio-economic status can lead to poor patient outcomes, exacerbated by lack of integration between health and social care and there is a demand for developing new models of working.

Aim

To improve connections between patients, local services and their communities to reduce unscheduled admissions.

Design and setting

A primary care cluster with areas of high deprivation, consisting of 11 general practices serving over 74,000 people.

Method

A multi-disciplinary team with representatives from healthcare, local council and the third sector was formed to provide support for people with complex or social needs. A discharge liaison hub contacted patients following hospital discharge offering support, while cluster pharmacists led medicine reviews. Wellb

SUBMITTER: Withers K 

PROVIDER: S-EPMC11330060 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature