{"response":{"docs":[{"system_create_dtsi":"2021-11-04T23:30:02Z","system_modified_dtsi":"2021-11-21T10:54:49Z","has_model_ssim":["PublishedWork"],"id":"000102090","accessControl_ssim":["919b2eb6-831b-48ca-9b1c-ff5471203f91"],"hasRelatedMediaFragment_ssim":["2n49t5562"],"hasRelatedImage_ssim":["2n49t5562"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Emergency bed use : what the numbers tell us."],"date_uploaded_dtsi":"2021-11-04T23:30:02Z","date_modified_dtsi":"2021-11-11T09:28:16Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["102090"],"abstract_tesim":["Although its budget was protected in the 2010 Spending Review, the NHS faces the tightest financial settlement in its history. To avoid reducing quality and making significant cuts to services, it needs to find £20 billion in productivity improvements by 2015. Reductions in the prices paid to hospitals for treating patients mean that 40 per cent of the productivity improvements will be made in the acute sector. Reducing unnecessary use of hospital beds offers a key opportunity for significant savings.\n\nThis data briefing will give providers and commissioners information on trends in the use of hospital beds to help them decide where to focus their attention over the coming year."],"date_published_tesim":["2011"],"date_published_ssi":"2011","official_url_tesim":["http://www.kingsfund.org.uk/document.rm?id=9403"],"pagination_tesim":["6"],"place_of_publication_tesim":["London"],"series_tesim":["DATA briefing"],"volume_number_tesim":["Decemb"],"rights_statement_tesim":["http://rightsstatements.org/vocab/InC/1.0/"],"license_tesim":["http://creativecommons.org/licenses/by-nc-nd/4.0/"],"creator_tesim":["Thompson, James","The King's Fund","Poteliakhoff, Emmi"],"date_tesim":["2011"],"date_ssi":"2011","publisher_tesim":["The King's Fund"],"resource_type_tesim":["Monograph"],"subject_tesim":["acute care","emergency bed service","patient emergency admissions","savings","hospital beds"],"note_tesim":["Pagination: 6p."],"former_identifier_tesim":["102090"],"thumbnail_path_ss":"/downloads/2n49t5562?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["1j92gc37p","2n49t5562","zw12z9277","9019s669s","8336h6305","vh53x0969","rb68xh12q","vq27zs843","rn301547g","2z10wv43j"],"file_set_ids_ssim":["1j92gc37p","2n49t5562","zw12z9277","9019s669s","8336h6305","vh53x0969","rb68xh12q","vq27zs843","rn301547g","2z10wv43j"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000102090"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1717511798682288128,"timestamp":"2021-11-26T17:14:50.528Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:38:50Z","system_modified_dtsi":"2021-10-28T15:22:26Z","has_model_ssim":["PublishedWork"],"id":"000098363","accessControl_ssim":["d7cbbc45-54f1-4093-ba67-af186cea9b61"],"hasRelatedMediaFragment_ssim":["6t053f97v"],"hasRelatedImage_ssim":["6t053f97v"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Social care funding and the NHS : an impending crisis?"],"date_uploaded_dtsi":"2021-10-27T23:38:50Z","date_modified_dtsi":"2021-10-28T14:27:16Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["98363"],"abstract_tesim":["The impact of funding cuts to the NHS has been widely reported and discussed, but less attention has been given to social care – and, most importantly, to the inter-relationships of health and social care. Social care funding has increased in real terms for the past decade, but there has been considerable variation in how that funding has been spent – in part because spending on social care is handled by local councils, whose circumstances vary. The wide geographical variations in cost and performance across a number of measures – for example, emergency hospital admissions, delayed transfers – reflect different relationships between health and social care. The government has pledged to facilitate closer integration so that people can receive a more joined-up service. Social care funding and the NHS: an impending crisis? examines trends in spending on social care, looking at three scenarios arising from the 27 per cent real reduction in the central government grant to local authorities that between 2011/12 and 2014/15, social care spending will be fully cut, will receive some protection, or receive no protection. This suggests that there could be a funding gap of £1 billion by 2014 unless councils can achieve unprecedented efficiency savings. This would have a knock-on effect on the NHS, with cuts to frontline social care services leading to fewer people getting the help they need, causing more emergency admissions, delayed discharges and longer waiting times. This paper provides evidence on the inter-dependency of health and social care, includes case studies of effective use of resources and recommends four areas for action to achieve better use of health and social resources: adopting a more unified national policy framework, for example, replacing existing separate processes with a single strategic assessment of the funding needs of the NHS and social care; developing a better understanding of local patterns of need, spending and outcomes, with metrics to support shared-investment decisions; closer alignment of resources through pooled and place-based budgets; and a wider role for local government in promoting health and well-being, thus reducing the need for NHS and social care services."],"date_published_tesim":["2011"],"date_published_ssi":"2011","official_url_tesim":["http://www.kingsfund.org.uk/document.rm?id=9027"],"pagination_tesim":["24p."],"place_of_publication_tesim":["London"],"creator_tesim":["The King's Fund","Humphries, Richard"],"date_tesim":["2011"],"date_ssi":"2011","publisher_tesim":["The King's Fund"],"subject_tesim":["joint working","health \u0026 social care","financing","adults","public expenditure cuts","social care","patient emergency admissions","NHS"],"thumbnail_path_ss":"/downloads/6t053f97v?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["6t053f97v"],"file_set_ids_ssim":["6t053f97v"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000098363"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714885585626202112,"timestamp":"2021-10-28T17:32:18.587Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:08:58Z","system_modified_dtsi":"2021-10-28T15:04:38Z","has_model_ssim":["PublishedWork"],"id":"000115015","accessControl_ssim":["d2bdbd7c-ec63-4295-850c-86cf3575cf1c"],"hasRelatedMediaFragment_ssim":["5m60qr89m"],"hasRelatedImage_ssim":["5m60qr89m"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Specialists in out-of-hospital settings :  findings from six case studies."],"date_uploaded_dtsi":"2021-10-27T23:08:58Z","date_modified_dtsi":"2021-10-28T14:15:19Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["115015"],"abstract_tesim":["The King’s Fund visited six services where consultants are delivering or facilitating care outside hospital. This report presents the findings from those visits as case studies. It identifies key characteristics and challenges to this way of working and seeks out evidence of the benefits to patients and the NHS more broadly."],"date_published_tesim":["2014"],"date_published_ssi":"2014","official_url_tesim":["http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/specialists-in-out-of-hospital-settings-kingsfund-oct14.pdf","http://www.kingsfund.org.uk/publications/specialists-out-hospital-settings"],"pagination_tesim":["36p."],"place_of_publication_tesim":["London"],"creator_tesim":["Sonola, Lara","The King's Fund","Honeyman, Matthew","Kothari, Suruchi","Robertson, Ruth","Brooke, Beatrice"],"date_tesim":["2014"],"date_ssi":"2014","publisher_tesim":["The King's Fund"],"subject_tesim":["general practitioners","preventive measures","case studies","medical consultants","chronic disease","community health care","patient emergency admissions","workforce","effectiveness","NHS","service relocation","medical specialists"],"thumbnail_path_ss":"/downloads/5m60qr89m?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["5m60qr89m"],"file_set_ids_ssim":["5m60qr89m"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000115015"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714884408675139584,"timestamp":"2021-10-28T17:13:36.159Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:08:38Z","system_modified_dtsi":"2021-10-28T15:04:29Z","has_model_ssim":["PublishedWork"],"id":"000110670","accessControl_ssim":["c7f17117-ad22-40f6-8fd7-bcb59553421f"],"hasRelatedMediaFragment_ssim":["gb19f5828"],"hasRelatedImage_ssim":["gb19f5828"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["South Devon and Torbay :  proactive case management using the community virtual ward and the Devon Predictive Model."],"date_uploaded_dtsi":"2021-10-27T23:08:37Z","date_modified_dtsi":"2021-10-28T14:15:11Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["110670"],"abstract_tesim":["This case study explores community virtual wards based in GP practices within South Devon and Torbay Clinical Commissioning Group (CCG). Community virtual wards were first introduced by Devon Primary Care Trust in 2010 to proactively identify those at high risk of emergency admissions using a predictive risk tool and to manage their care through a multidisciplinary approach."],"date_published_tesim":["2013"],"date_published_ssi":"2013","official_url_tesim":["http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/south-devon-and-torbay-coordinated-care-case-study-kingsfund13.pdf","http://www.kingsfund.org.uk/publications/south-devon-and-torbay"],"pagination_tesim":["30p."],"place_of_publication_tesim":["London"],"creator_tesim":["Goodwin, Nick","Sonola, Lara","The King's Fund","Thiel, Veronika","Kodner, Dennis L."],"date_tesim":["2013"],"date_ssi":"2013","publisher_tesim":["The King's Fund"],"subject_tesim":["Devon","telecare","health \u0026 social care","coordination","case studies","integrated care","Torbay","patient emergency admissions","primary care","case management","virtual wards","predictive models"],"thumbnail_path_ss":"/downloads/gb19f5828?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["gb19f5828"],"file_set_ids_ssim":["gb19f5828"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000110670"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714884398372880384,"timestamp":"2021-10-28T17:13:26.334Z","score":1.0},{"system_create_dtsi":"2021-10-27T22:53:22Z","system_modified_dtsi":"2021-10-28T14:57:06Z","has_model_ssim":["PublishedWork"],"id":"000105112","accessControl_ssim":["55191542-c36d-48ec-9509-db33840c4602"],"hasRelatedMediaFragment_ssim":["xp68kg21m"],"hasRelatedImage_ssim":["xp68kg21m"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Older people and emergency bed use :  exploring variation. "],"date_uploaded_dtsi":"2021-10-27T22:53:22Z","date_modified_dtsi":"2021-10-28T14:08:55Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["105112"],"abstract_tesim":["This paper explores factors that might be driving the significant variation in use of hospital beds by patients over 65 admitted as an emergency.  It considers the contribution made by patient-based (demand-side) factors, hospital (supply-side) factors, the availability of community services and resources, and broader system relationships (how care systems and staff work together and relate to each other) in driving the observed variation in length of stay and rate of admission. Its conclusions are based on new analysis by The King’s Fund of Hospital Episode Statistics (HES) and local population -based data. \n\n"],"date_published_tesim":["2012"],"date_published_ssi":"2012","official_url_tesim":["http://www.kingsfund.org.uk/publications/older-people-and-emergency-bed-use"],"pagination_tesim":["24p."],"place_of_publication_tesim":["London"],"creator_tesim":["Imison, Candace","The King's Fund","Poteliakoff, Emmi","Thompson, James"],"date_tesim":["2012"],"date_ssi":"2012","publisher_tesim":["The King's Fund"],"subject_tesim":["statistical data","community health services","integrated care","hospital care","variations","acute care","service demand","hospital stay duration","social care","patient emergency admissions","older people"],"thumbnail_path_ss":"/downloads/xp68kg21m?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["xp68kg21m"],"file_set_ids_ssim":["xp68kg21m"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000105112"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714883839763939328,"timestamp":"2021-10-28T17:04:33.603Z","score":1.0},{"system_create_dtsi":"2021-10-27T22:22:17Z","system_modified_dtsi":"2021-10-28T14:40:55Z","has_model_ssim":["PublishedWork"],"id":"000103474","accessControl_ssim":["dda0b286-76d6-4d50-bf9d-516eacf51770"],"hasRelatedMediaFragment_ssim":["kk91fk54w"],"hasRelatedImage_ssim":["kk91fk54w"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Emergency hospital admissions for ambulatory care-sensitive conditions :  identifying the potential for reductions. "],"date_uploaded_dtsi":"2021-10-27T22:22:17Z","date_modified_dtsi":"2021-10-28T13:57:45Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["103474"],"abstract_tesim":["This data briefing aims to highlight for commissioners the opportunity for improving the quality of care and saving costs that reducing emergency hospital admissions for ambulatory care-sensitive conditions (ACSCs) presents. It uses Hospital Episode Statistics (HES) data to examine the sociodemographic\npatterns of emergency admissions for each ACSC and calculates the cost of these admissions. It also investigates variations in admissions for ACSCs among local authority\ndistricts in England and estimates the potential for reducing these admissions and associated costs."],"date_published_tesim":["2012"],"date_published_ssi":"2012","official_url_tesim":["http://www.kingsfund.org.uk/publications/data-briefing-emergency-hospital-admissions-ambulatory-care-sensitive-conditions"],"pagination_tesim":["13p."],"place_of_publication_tesim":["London"],"creator_tesim":["The King's Fund","Tian, Yang","Gao, Haiyan","Dixon, Anna"],"date_tesim":["2012"],"date_ssi":"2012","publisher_tesim":["The King's Fund"],"subject_tesim":["preventive measures","savings","quality of patient care","quality improvement","costs","service relocation","ambulatory care","patient emergency admissions"],"thumbnail_path_ss":"/downloads/kk91fk54w?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["kk91fk54w"],"file_set_ids_ssim":["kk91fk54w"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000103474"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714882773323350016,"timestamp":"2021-10-28T16:47:36.566Z","score":1.0},{"system_create_dtsi":"2021-10-27T22:21:13Z","system_modified_dtsi":"2021-10-28T14:40:12Z","has_model_ssim":["PublishedWork"],"id":"000103333","accessControl_ssim":["d9b0cd6b-14eb-435a-aad6-e65e99b20f17"],"hasRelatedMediaFragment_ssim":["h702q639b"],"hasRelatedImage_ssim":["h702q639b"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Continuity of care for older hospital patients :  a call for action. "],"date_uploaded_dtsi":"2021-10-27T22:21:13Z","date_modified_dtsi":"2021-10-28T13:57:23Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["103333"],"abstract_tesim":["Consistent, reliable high-quality care is what all patients want and health workers aim to provide. However, the reality for most patients, particularly those in acute hospitals, often falls far short of the ideal. In the context of acute care, the risks of fragmentation and breakdown in care co-ordination are high, especially for older patients. This paper focuses on those aged 70 years and older with multiple health problems and explores how continuity of care affects them and the people closest to them.\n\n"],"date_published_tesim":["2012"],"date_published_ssi":"2012","official_url_tesim":["http://www.kingsfund.org.uk/publications/continuity-care-older-hospital-patients"],"pagination_tesim":["32p."],"place_of_publication_tesim":["London"],"creator_tesim":["Sonola, Lara","The King's Fund","Cornwell, Jocelyn","Levenson, Ros","Poteliakhoff , Emmi"],"date_tesim":["2012"],"date_ssi":"2012","publisher_tesim":["The King's Fund"],"subject_tesim":["quality of patient care","good practices","hospitals","patient emergency admissions","older people","cost effectiveness","continuity of patient care","acute care"],"thumbnail_path_ss":"/downloads/h702q639b?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["h702q639b"],"file_set_ids_ssim":["h702q639b"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000103333"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714882733355827200,"timestamp":"2021-10-28T16:46:58.450Z","score":1.0},{"system_create_dtsi":"2021-10-27T22:03:37Z","system_modified_dtsi":"2021-10-28T14:31:35Z","has_model_ssim":["PublishedWork"],"id":"000096185","accessControl_ssim":["7e973706-040e-45c4-9ee7-eb18b8a7e633"],"hasRelatedMediaFragment_ssim":["5999n3367"],"hasRelatedImage_ssim":["5999n3367"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Avoiding hospital admissions : lessons from evidence and experience."],"date_uploaded_dtsi":"2021-10-27T22:03:37Z","date_modified_dtsi":"2021-10-28T13:50:57Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["96185"],"abstract_tesim":["This paper summarises presentations made at a seminar held at The King’s Fund in April 2010. The seminar brought together case studies from the NHS in England, Kaiser Permanente in California and the independent sector, as well as research evidence, to explore what has been tried and what has worked in avoiding hospital admissions."],"date_published_tesim":["2010"],"date_published_ssi":"2010","official_url_tesim":["http://www.kingsfund.org.uk/publications/articles/avoiding-hospital-admissions-lessons-evidence"],"pagination_tesim":["22p."],"place_of_publication_tesim":["London"],"creator_tesim":["Imison, Candace","The King's Fund","Jennings, Mark","Ham, Chris"],"date_tesim":["2010"],"date_ssi":"2010","publisher_tesim":["The King's Fund"],"subject_tesim":["advance directives","preventive measures","evidence based practice","health \u0026 social care","integrated care","chronic disease","patient emergency admissions","older people","NHS","evaluation","assessment units"],"thumbnail_path_ss":"/downloads/5999n3367?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["5999n3367"],"file_set_ids_ssim":["5999n3367"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000096185"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714882062521991168,"timestamp":"2021-10-28T16:36:18.693Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:43:17Z","system_modified_dtsi":"2021-10-28T14:17:34Z","has_model_ssim":["PublishedWork"],"id":"000097109","accessControl_ssim":["801d29cd-4cab-4e1c-9561-2ac774297501"],"hasRelatedMediaFragment_ssim":["p2676v53n"],"hasRelatedImage_ssim":["p2676v53n"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Avoiding hospital admissions :  what does the research evidence say?"],"date_uploaded_dtsi":"2021-10-27T21:43:17Z","date_modified_dtsi":"2021-10-28T13:44:17Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["97109"],"abstract_tesim":["Emergency admissions to hospital are costly to the NHS and also cause disruption to planned health care. Considerable efforts have been made within the health service to reduce emergency admissions, but few primary care trusts have been successful, with some primary care trusts recording an increase. In order to successfully reduce avoidable emergency admissions, we need to fully understand which interventions are the most effective. The King’s Fund commissioned this review of research evidence to establish which interventions work in avoiding emergency or unplanned hospital admissions. This paper aims to address the following questions:  what interventions work in reducing avoidable admissions?; who is at risk, and how do we identify them?; which admissions are potentially avoidable?; and which interventions work in primary care, social care, emergency care, discharge from hospital. The review of available research evidence identified interventions where there is evidence of positive effect on both admissions and re-admissions, those where there is evidence that the intervention has no beneficial effect, and a range of interventions where more evidence is needed to determine whether they have the potential to reduce admissions. The author emphasises that interventions to reduce emergency admissions take place within a complex environment, in which the nature and structure of existing care services, individual professional attitudes, patient and family preferences, and general attitudes to risk management can affect their implementation. It is also acknowledged that some interventions, although they fail to reduce admissions, may have other beneficial effects, such as reducing length of stay or improving patients’ experience of care. The paper concludes that policy-makers, providers and commissioners can introduce a number of changes that have proved to be effective in reducing admissions and includes recommendations for all of these groups, emphasising the importance of using evidence-based interventions. This paper is part of our productivity and efficiency project work"],"date_published_tesim":["2010"],"date_published_ssi":"2010","official_url_tesim":["http://www.kingsfund.org.uk/publications/avoiding-hospital-admissions"],"pagination_tesim":["28p."],"place_of_publication_tesim":["London"],"creator_tesim":["The King's Fund","Purdy, Sarah"],"date_tesim":["2010"],"date_ssi":"2010","publisher_tesim":["The King's Fund"],"subject_tesim":["preventive measures","evidence based practice","health \u0026 social care","research","chronic disease","patient emergency admissions","self care of patient","effectiveness","NHS","literature reviews"],"thumbnail_path_ss":"/downloads/p2676v53n?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["p2676v53n"],"file_set_ids_ssim":["p2676v53n"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000097109"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714881038372569088,"timestamp":"2021-10-28T16:20:01.987Z","score":1.0}],"facets":[{"name":"creator_sim","items":[{"value":"The King's Fund","hits":9,"label":"The King's Fund"},{"value":"Sonola, Lara","hits":3,"label":"Sonola, Lara"},{"value":"Imison, Candace","hits":2,"label":"Imison, Candace"},{"value":"Thompson, James","hits":2,"label":"Thompson, James"},{"value":"Brooke, Beatrice","hits":1,"label":"Brooke, Beatrice"},{"value":"Cornwell, Jocelyn","hits":1,"label":"Cornwell, Jocelyn"}],"label":"Author"},{"name":"subject_sim","items":[{"value":"patient emergency admissions","hits":9,"label":"patient emergency admissions"},{"value":"NHS","hits":4,"label":"NHS"},{"value":"health \u0026 social care","hits":4,"label":"health \u0026 social care"},{"value":"preventive measures","hits":4,"label":"preventive measures"},{"value":"acute care","hits":3,"label":"acute care"},{"value":"chronic disease","hits":3,"label":"chronic disease"}],"label":"Subject"},{"name":"resource_type_sim","items":[{"value":"Monograph","hits":1,"label":"Monograph"}],"label":"Resource type"},{"name":"date_range_sim","items":[{"value":"2012","hits":3,"label":"2012"},{"value":"2010","hits":2,"label":"2010"},{"value":"2011","hits":2,"label":"2011"},{"value":"2013","hits":1,"label":"2013"},{"value":"2014","hits":1,"label":"2014"}],"label":"Date Range"},{"name":"file_format_sim","items":[],"label":"File format"},{"name":"member_of_collections_ssim","items":[],"label":"Collection"},{"name":"generic_type_sim","items":[{"value":"Work","hits":9,"label":"Work"}],"label":"Generic Type Sim"}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":9,"first_page?":true,"last_page?":true}}}