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| Hospital admissions cut plan 'risky' | |
| (about 7 hours later) | |
| A £3.8bn scheme to cut hospital admissions in England and treat more people at home is risky, and "overly optimistic", health researchers warn. | A £3.8bn scheme to cut hospital admissions in England and treat more people at home is risky, and "overly optimistic", health researchers warn. |
| Writing for the BBC News website's Scrubbing Up column, Nigel Edwards from the Nuffield Trust says the Better Care Fund, due to start in 2015, could even lead to more hospital admissions. | Writing for the BBC News website's Scrubbing Up column, Nigel Edwards from the Nuffield Trust says the Better Care Fund, due to start in 2015, could even lead to more hospital admissions. |
| He says cutting the length of hospital stays would be more effective. | He says cutting the length of hospital stays would be more effective. |
| The government says pilots in 14 areas are already working well. | The government says pilots in 14 areas are already working well. |
| Mr Edwards says there is a proportion - perhaps around 15% of hospital admissions - who could be cared for in the community if GP and nursing services were improved. | Mr Edwards says there is a proportion - perhaps around 15% of hospital admissions - who could be cared for in the community if GP and nursing services were improved. |
| Then, he says, there are a number of patients who may be admitted to hospital for a day or two and, while they could be cared for at home, the diagnostic and expert resources needed may well be the same. | Then, he says, there are a number of patients who may be admitted to hospital for a day or two and, while they could be cared for at home, the diagnostic and expert resources needed may well be the same. |
| He says the real issue is about those patients who remain in hospital for longer. | He says the real issue is about those patients who remain in hospital for longer. |
| Care elsewhere | Care elsewhere |
| Writing in Scrubbing Up Mr Edwards says: "Most beds are occupied by relatively small numbers of patients who stay a long time. | Writing in Scrubbing Up Mr Edwards says: "Most beds are occupied by relatively small numbers of patients who stay a long time. |
| "In fact, in medical wards 10% of the patients that stay in hospital for more than a week use over 71% of the beds. | "In fact, in medical wards 10% of the patients that stay in hospital for more than a week use over 71% of the beds. |
| "More can be done quickly by reducing patients' length of stay. | "More can be done quickly by reducing patients' length of stay. |
| "A large proportion of patients could be more effectively cared for elsewhere. This will require better social care, community services and new types of care." | "A large proportion of patients could be more effectively cared for elsewhere. This will require better social care, community services and new types of care." |
| The Foundation Trust Network, which represents NHS trusts which look after their own finances, said the fund was a "step in the right direction" but warned it carries "significant risk that needs to be managed". | The Foundation Trust Network, which represents NHS trusts which look after their own finances, said the fund was a "step in the right direction" but warned it carries "significant risk that needs to be managed". |
| Health Minister Norman Lamb said: "The Better Care Fund isn't just about cutting hospital admissions - it's about reducing the time people spend in hospital, having services closer to home and preventing people from getting ill in the first place. | Health Minister Norman Lamb said: "The Better Care Fund isn't just about cutting hospital admissions - it's about reducing the time people spend in hospital, having services closer to home and preventing people from getting ill in the first place. |
| "It's a new joined-up approach which will transform patient care." | "It's a new joined-up approach which will transform patient care." |
| He added: "No-one said it's going to be easy, which is why we are working closely with local areas to get their plans for integration right. | He added: "No-one said it's going to be easy, which is why we are working closely with local areas to get their plans for integration right. |
| "But when we do, patients will get better care in the community and the NHS will be able to focus its attention on those who need it most. " | "But when we do, patients will get better care in the community and the NHS will be able to focus its attention on those who need it most. " |