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Care closer to home project

  • Last modified date:
    8 July 2008

On this page you will find information about the project and evaluation process, as well as case study examples from the individual demonstration sites.

Delivering care closer to home: meeting the challenge

Published: 8 July 2008

Implementing the local visions developed by NHS staff and service users for the NHS Next Stage Review will require real and sustained change to the way that services are designed, delivered and improved.

A theme that runs across the vision for primary and community care is the need to bring care closer to home, ultimately to deliver a more integrated service. Key to success is working across the whole health and care economy and recognising that the local context is critical in defining priorities, maximising the strategic benefits and effectively managing costs.

A new Care Closer to Home Framework is now available. This document brings together the insights and resources available, from both local and national sources, to support local organisations to bring care closer to home. The aim of this publication is to share emerging practice; look at what national enablers can support shifting care; and highlight new products already developed to shift care by the Department of Health.

Background to the project

One of the key themes of Our Health Our Care Our Say was making care more responsive to patient needs by considering how services can be delivered differently to enhance convenience. Providing more convenient and accessible services was one of the key messages that came out of the consultation exercise that formed the basis for the White Paper. The Care Closer to Home Demonstration Project has been set up to consider how care can be shifted and delivered in innovative ways to make it more convenient for patients. The project is evaluating care pathways and models of care in six specialities -  dermatology, orthopaedics, gynaecology, urology, ENT and general surgery.

About the demonstration sites

Thirty services across England, five for each of the six specialities, have been selected for evaluation.  We have identified a range of different  models of care, including services that are provided in community hospitals, virtual services, nurse/allied health professional - led services, consultant led clinics provided in community settings and intermediate and step down services. More information is available by following the links below.

Project evaluation

An academic evaluation of the project was carried out by the National Primary Care Research and Development Centre (NPCRDC) at Manchester University. The evaluation covers the cost, safety, workforce and training, clinical governance, and equipment implications of shifting care. It also considers the sustainability and replicability of the services being evaluated.

Report of the specialty subgroups

These reports have been produced by the six specialty subgroups set up to oversee the work of the sites. Each chapter describes how one speciality area fared in delivering care in more convenient settings. They describe the implications of changing service patterns, the challenges faced on the journey to reform, and most importantly provide advice about how to overcome these challenges.

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