Co-ordinated care in South Devon and Torbay

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Part of Co-ordinated care for people with complex chronic conditions

We have been working with South Devon and Torbay Clinical Commissioning Group (CCG) to find out more about their innovative primary care-based approaches to care. The CCG uses proactive case management and community virtual wards to identify people at risk of an unnecessary hospital admission in the next 12 months.

During the film, the team make reference to a 25 per cent reduction in emergency admissions for the top 0.5 per cent of at-risk patients. The data quoted includes patients who were not case-managed on the virtual wards. As a result the reduction cannot be directly attributed to the virtual wards intervention.

This case study is part of a research project undertaken by The King’s Fund and funded by Aetna and the Aetna Foundation in the United States to compare five successful UK-based models of care co-ordination.

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