Select Committee on Health Minutes of Evidence


APPENDIX 2

EXTRACTS FROM INDEPENDENT EVALUATION OF AN EARLY DISCHARGE SERVICE

  "The service has delivered a wide variety of care packages to over 1,200 clients from an ethnically mixed background in Tower Hamlets. The vast majority of clients have been completely managed by the service with 1.8 per cent of clients requiring readmission to hospital.

  Client and user satisfaction is high. Several collaborative relationships have developed with a number of local health and social care providers and an efficient referral system is currently in operation, resulting in very few inappropriate referrals.

  This intermediate care service meets the concept and strategy recommended by national and local governmental policy. A limited economic comparison suggests that the service has potentially resulted in considerable financial savings, suggesting a cost-effective service.

  The service places a carer with a client within four-six hours of discharge, providing transport if required. The carers can provide short-term support out-of-hours, since implementing social services can take up to 72 hours and are only available during office hours Monday-Friday. The service operates seven days a week from 8am to 10pm.

  Criteria for admission are that the client should have their own home, be medically fit, live in the borough, be of any age and have potential to return to their original independence.

  The service is funded jointly through Personal Social Services and the local Primary Care Trust (PCT) monies. It has recently been granted a 3-year extension with yearly reviews.

Total number of patients managed
1,237
  
  
Total number of readmission
23
£1407.90
£3,2381.70
Total number patients managed (without readmission)
1,214
  
  
Total cost to date (Dec 98-Dec 2001)
  
  
£690,000
Total Potential Savings
Assuming five day stay:
£854,595.30
Balance—
£164,593.30
  
Assuming 10 day stay:
£1,709,190.60
Balance—
£1,019,190.60




 
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Prepared 29 July 2002