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Innovative care could help over 15 million people with long-term conditions

3rd August 2011

The NHS could help improve the care of over 15 million people living with long-term conditions and reduce the number of unnecessary trips to hospital if the most innovative work being pioneered in other parts of the NHS were adopted nationwide.

In addition to helping patients manage their conditions better and reducing distressing emergency episodes, new approaches to reduce ambulance call-outs by over 900,000 and hospital bed days by over 10.2 million can deliver huge savings – an estimated £2.2 billion to reinvest in frontline patient care, helping to meet the rising demands our NHS faces.

People with long-term conditions are some of the most frequent users of the NHS. In 2009-10, an estimated £70 billion of total health and social care expenditure was spent on patients with long-term conditions. The number of people with a long-term condition is set to rise to around 18 million within 20 years – combine this with our ageing population and the NHS faces even greater pressures.

People living with long-term conditions currently account for:

  • 50% of all GP appointments;
  • 64% of outpatient attendances; and
  • 77% of all hospital bed days.

Plans to modernise the way the NHS works will encourage a more integrated approach to patient care and help personalise services to the needs of individual patients. Clinicians from the ambulance service, hospitals and GPs and nurses from Kirklees in West Yorkshire are already leading the way by working together to identify patients who frequently use emergency services in order to help them manage their condition better and avoid unnecessary hospital visits.

Secretary of State for Health, Andrew Lansley said:

“We have a vital opportunity now to modernise the NHS. People with long-term conditions have some of the most complex health needs in the country and we need to personalise services to suit their needs, not fit them around how the NHS is organised. We want clinicians to take the lead locally in developing health services so that they can support patients, to take decisions about their care and help them take charge of their health and the care they receive. With this approach, they will find new ways to tackle this problem for both the NHS and patients.

“I know the NHS can work more efficiently to improve care for their local communities, as it has shown in West Yorkshire. It is innovative changes like this that will help us create a modern NHS that can respond to 21st century needs.”

Today, Health Secretary Andrew Lansley will meet clinicians from Kirklees to see how their inventive joined-up approach of sharing information on a patient’s full clinical needs helps develop more tailored treatment and care options. Electronic patient records enable these to be seen by any health professional treating the patient.

Emergency care plans are also saved on this record and given to the patient as a hardcopy to ensure that no decision is made about them without them.

This initiative has reduced ambulance trips by 16% and saved NHS Kirklees £1.09 million – improvements which could easily be seen around the country.

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