The document was produced for the Department of Health by Ernst & Young in collaboration with the University of Cambridge. It is an evaluation of 16 sites across England which undertook different ways of integrating care, and provides information on evalution methods, data collection and analysis.
“We found no evidence of the anticipated reduction in emergency admissions for patients who received an intervention. We have no means of determining whether the continuing volume of admissions was appropriate or not. Balancing the unanticipated persistence of emergency admissions, we found reductions in outpatient attendances, which we suggest may have been due to moving services into primary care settings, an aim of several of the sites. Reasons for the observed reduction in elective admissions (especially in chemotherapy for cancer) are less clear. Taking these changes together, we found no significant impact of the pilots on secondary care costs.
Integrated care activity throughout 16 pilot sites has to date resulted in changes to the delivery of care that have led to improvements in staff experience and organisational culture. The interventions had high appeal to staff involved, and we hypothesise that if continued, they may bring about improvements in outcomes relating to patient care and longer-term cost savings” p9 summary report