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EJ Coleman-Jones, P Evans, 2761 Proactive care in independent living facilities—reducing unplanned demand on the health economy, Age and Ageing, Volume 54, Issue Supplement_1, January 2025, afae277.009, https://doi.org/10.1093/ageing/afae277.009
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Abstract
The Chandlers Ford, Eastleigh and Southern Parishes Frailty Support Team (FST) identified pockets of high referral rates within independent living facilities. It was hypothesised that this may be because independent living facilities do not have a contractual arrangement for proactive intervention, unlike care homes and nursing homes. This leaves individuals and carers unsure how, when and where to seek support. In turn, this potentially has a high healthcare burden through unplanned access to GP’s, 999, 111 or admissions to hospital.
An independent living facility was identified, and participants were invited to have a proactive, holistic review. Medical notes were reviewed for 12 calendar months prior the project and all unplanned contacts recorded. Each participant then received a face-to-face review which identified, addressed and rectified any findings/concerns. A follow-up review of medical notes and a telephone call to participants was completed 3 months later.
This project has decreased unplanned medical contacts by an average of 85% in all participants which equates to an average saving of £453.67 per person.
The project suggests that in independent living facilities switching from a reactive to a proactive model may allow for better holistic care, in turn reducing the burden on the local health services. It is acknowledged that this is a small sample and therefore may not be representative or generalisable and a larger study is recommended.
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