NHS England | September 2018 | 17,000 hospital nights and £7m saved for NHS through early treatment ‘iCares’ scheme
A scheme that identifies and flags patients with long term conditions at high risk of hospital admission is able to ensure they are seen as early as possible. The early treatment ‘iCares’ scheme was established by Ruth Williams, Clinical Directorate Lead at Sandwell and West Birmingham Hospitals, s five years ago after realising how difficult it was for patients to navigate the system and the waste created by multiple teams working in silo.
Patients or carers can ring one line if they need help and are triaged with urgent referrals seen in three hours by a part of the team dedicated to hospital avoidance.
The team of 100 staff make sure patients are seen as early as possible. The team unites physios, occupational therapists, advanced clinical practitioners (ACPs), community matrons, nurses, speech and language therapists and many more. Previously, patients were coping at home until in some cases they needed hospital admission. The scheme is based on need, rather than diagnosis.
So far the scheme has helped to reduce hospital admissions by 2,478 per year – 93% of patients who access the service stay in the community after an urgent visit rather than being admitted to hospital. It has also contributed to a reduced length of stay in A&E, reduced length of stay in hospital from 10 days to seven days and reduced readmission rates (Source: NHS England).
Full details on the innovation at NHS England