Abstract
Crossing age boundaries; Falls clinic serves as frailty clinic beyond age category
Highlights
There has been a longstanding ambition within the National Health Service (NHS) to ‘manage demand’ and reduce unplanned as well as elective hospital admissions
Who is at risk of emergency admission?
A number of factors are associated with increased rates of admission, and are important to consider when targeting interventions to reduce avoidable admissions
Summary
There has been a longstanding ambition within the NHS to ‘manage demand’ and reduce unplanned as well as elective hospital admissions. This ambition has yet to be realised, despite considerable effort to deliver interventions across the service. The problem is complex and there are many causes, with issues around population, hospital and community care contributing to the variance in unplanned admissions (Blunt et al 2010). Interventions may be focused at different stages along the patient journey, from preventive management of people at high risk of admission, through to services that manage acute illness (or exacerbations of chronic illness) without resorting to hospital admission. Other interventions focus on individual patients, from developing skills in self-care to wider interventions such as care pathways and co-ordinated responses to acute medical problems for a given population
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