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CQC reveals extent of avoidable admissions

One in ten hospital admissions of patients over the age of 75 in the UK last year was ‘potentially avoidable’, according to the CQC.

The regulator’s ‘fourth annual State of Care’ report found there were 530,000 ‘avoidable admissions’ of patients over the age of 65 in 2012/13, 396,000 of which were for over 75s.

The findings come a week after the Government and GPC announced the establishment of a new avoidable admissions enhanced service in England as part of their 2014/15 contract negotiations, which will see GPs playing a greater role in limiting avoidable admissions by liasing with emergency providers and patients over the phone.

The CQC’s report found ‘significant regional variations’ in numbers of elderly people admitted with avoidable conditions, with the highest rates found in north east England.

South west England had the lowest rates, and the report identified that areas with a ‘higher proportion’ of older people were likely to have fewer ‘avoidable’ admissions as a result of increased awareness of their needs, and more developed systems for avoiding admissions among primary and community care services.

David Behan, chief executive of the CQC, said: ‘Those responsible for care in local areas need to work together quickly to address the number of avoidable emergency admissions to hospital.’

‘GPs, care homes, home care agencies, community health services and hospitals, with local commissioners, must plan effectively to make sure our older and more vulnerable people are cared for in the way they deserve… Where care can be provided for people outside of hospitals, it is better for them and eases pressures on hospital services.’

As part of the DES, GPs will ‘proactively case manage’ all patients at risk of unplanned admissions - and not just patients over the age of 75 - by acting as a named GP to coordinate their care.

This will be worth around £160m in funding overall, and is designed to relieve the burden on A&E services from increasing numbers of elderly patients and those with complex care needs.

Readers' comments (10)

  • The CQC are Jeremy Hunt's pets!! These reports illustrate the mess of the NHS but blaming and battering GPs will never produce the solution. WHY NOT INVEST A BIT MORE IN GENERAL PRACTICE AND A BIT LESS IN EXPENSIVE, DISORGANISED, OVER-INVESTIGATING AND WASTEFUL SECONDARY CARE???????? HUNT IS FOOL AND SEEMS TO THINK THUGGERY WILL SECURE HIS FUTURE CAREER...........

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  • this is interesting, another way of looking at it is that 90% of admissions is appropiate and the CQC include pneumonia as "potentially avoidable " and as far as i am aware pneumonia is a significant cause of death in the elderly so the true figure is higher than 90%.So everyone is doing a good job but why dont they say so!!

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  • The whole goverment agenda is negative towards the NHS for the reasons we all know

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  • Ah, but their Media Chums who have been shielded from Regulation by Camoron et al are duly showing sufficient gratitude by mauling GPs at their Master's request. (It is a secret trist that nobody knows about so Sssh.)

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  • Please beware of spin by politicians and media . To listen to Hunt one could believe that gp's are unavailable OOH . An article in Atlantic Magazine -November edition shows that UK has the easiest access to healthcare without going to ER (69 %) out of 11 ,western countries . Interestingly health (UK)spending per capita is just above New Zealand (the least expensive. ) This article had been written in support of Obama's health reforms . NHS has just appointed an expert in American health care as CEO . American per capita spending is 2.5 x greater than ours . The ease of getting OOH care in the states without ER is 39 % .

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  • Also please look at another Atlantic Magazine article dated May 2009 by Simon Johnson (ex chief economist of IMF ) " The Quiet Coup " it explains very well why we're in the economic mire causing health cuts .

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  • We are criticised for prescribing antibiotics then are criticised for elderly people admitted with UTI or LRTI make your mind up!! These people are not doctors and by god doesn't it show

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  • Its brilliant to see another report like this . A bunch of overpaid bureaucrats- once again wise after the event.
    Ever heard 'no point closing the stable door after the horse is bolted'
    Thanks for your help guys !!
    Now put the resource into primary care and the potential admissions could be looked after appropriately.
    No wait a minute - that would need approx 10% of the budget for a 'potential saving in the hospital admissions' - NOT going to happen. Your are wasting time and significasnt sums of public money confirming what we already know. Implementation ids where it is all at now - don't see any of the mndless wonders getting involved in this area.

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  • I am a bit sick of petty beurocrats+politicians who know nothing of the front line telling people how to do there jobs then not taking any responsibility when it goes wrong.They dont get it our repsonsibility is to our patients first not them and their targets.

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  • is this not CQC beefing up attacks on the nhs to justify their own existance? If 10% are "Avoidable" then 90% must be justifiable. I never assumed Pneumonia was an avoidable disease - unless pressure not to use antibiotics is now delaying appropriate treatment, which can of course include admission.
    Can we not accept that successful treatment of heart failure, cancer etc does actually lead to older and inevitably "frailer" people? As yet we dont have a policy to deal with that - ie the DoH led by politicians remains incompetent at longterm forward planning and management of the NHS. [Too tied up in soundbites and short term gains that, temporarily, appeal to voters]

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