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       #Post#: 127--------------------------------------------------
       What amount of saving delivered/anticipated by Crisis response f
       alls team?
       By: admini5 Date: May 13, 2015, 4:36 am
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       This initiative saves money by reducing the proportion of falls
       related calls that result in hospital admission. From over 1300
       referrals accepted by the CRFT in Northamptonshire in 2012, just
       over 1000 admissions were avoided. These were as a result of
       faster access to specialist lifting equipment, enhanced
       diagnosis to avoid conveyance to A&E and the support offered by
       the CRFT to facilitate discharge from A&E.
       Based on the 2012 cost data, each referral accepted by the CRFT
       cost £778 and each admission avoided saved £1556. The net saving
       from 1,050 admissions avoided from 1,311 referrals was therefore
       approximately £640,000; equivalent to £91,000 per 100,000
       population.
       The cost of the CRFT response takes into account the additional
       staff required, training and the cost of the contract with the
       social care provider to provide support to those who fall. The
       additional equipment is a non-recurrent capital cost, accounted
       for under ‘Any costs required to achieve the
       savings’ below.
       Avoiding unnecessary conveyance to hospital helps to avoid
       unnecessary admissions. The conveyance rate for people who fall
       attended by the CRFT is around 40% compared to 65% for those
       attended by a normal ambulance. This is due to the improved
       diagnosis and management of falls-related injuries provided by
       the specialist service.
       This initiative is also likely to reduce the number of repeat
       falls due to improved assessment and management of risk factors,
       although it is not possible to confirm this with the available
       data. Whilst this saving cannot be accurately quantified and has
       not been included, the number of falls-related calls in
       Northamptonshire has stabilised at around 10,500 per year in
       contrast to previous annual rises, which were believed to be due
       to demographic changes.
       For further information, please go to:
  HTML https://arms.evidence.nhs.uk/resources/qipp/1037477/attachment
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