Focusing on the most ill patients sharply cut UK NHS hospital admissions. The HSE shoul quickly emulate this programme given overcrowding in A&Es.

Patslatt1

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Focusing on the most ill patients sharply cut UK NHS hospital admissions. The HSE shoul quickly emulate this programme given overcrowding in A&Es.

See https://www.thetimes.co.uk/article/may-should-shout-about-this-nhs-revolution-kx0snxd3p (paywall).

Quote:
"...concentrating their attention on the small group of people, usually with multiple long term conditions, who use the NHS the most often...In areas that are not in the vanguard scheme, demand for acute beds is rising by 3.2%. In vanguard places, it is falling."

The Vanguards refers to a UK NHS reform programmes which include this concentration. The article is sceptical of the ability of the NHS quickly to roll out these good practices thanks to "the sheer inertia of a vast system", noting that by contrast the private sector takes 14 months for innovation to become standard practice.

Huge differences in NHS performances between regions illustrate Pareto's Law, also known as the 80/20 Rule of thumb. In socioeconomic statistics, about 80% of a result can be attributed to 20% of the participants and maybe 50% of the result to 5 to 10% of them. So as a generalisation, 80% of hospital admissions may be attributable to say 20% of the population, usually those over age 60, and 50% may be attributable to the small minority over 75. In terms of survival rates for very serious illnesses, the 80/20 rule may also apply to hospitals in different regions,supporting the joke line "as dangerous as a small Irish hospital"!

Let's hope the HSE moves quickly to emulate this Vanguards programme given overcrowding in A&Es.The basic logistics should be simple enough, with field nurses visiting the ill as often as their condition requires.Devices like wireless earbuds of German company Bragi could send alerts. Spending 10 to 15 minutes with each ill person on average, a nurse could visit maybe a dozen patients a day in their homes. The service may need to carry portable diagnostic equipment for the people most at risk, similar to an ambulance service.
 
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Patslatt1

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England is crammed full of people to begin with, and they haven't even bothered to stop immigration into their country - they are still flowing in from places like Calais and so on, if anybody beligerently refuses to see the connection, god help them.
Refugees being mainly young don't need much A&E.
 


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