New research helps address problem of hospital bed blocking

The study examines the role of multispecialty community providers (MCPs).

mcps
Image: University of Plymouth

Another examination has addressed presumptions about the most ideal approach to stop superfluous admissions and broadened hospital stays for slight, elderly individuals. The study found that new multispecialty community providers (MCPs) could be effective in preventing such admissions under certain conditions. But evidence as to whether they reduced costs overall for the health service was ‘mixed’.

The key finding of the investigation was that multidisciplinary mind groups are completely significant to the adequacy of MCPs, and must contain the correct professions and associations, including patients, and speak with each other well.

MCPs expect to unite essential care and community-based health and care administrations, to offer care near people’ homes, and in whatever number cases as would be prudent, keep them out of doctor’s facility and spare cash.

By enhancing systems outside healing centers, MCPs likewise expect to address the issue of ‘bed blocking’, where patients can’t be discharged in light of the fact that there is lacking consideration to take care of them.

They were one of the new care models set out by NHS England in its Five Year Forward View, distributed in October 2014. From that point forward, the model has been trialed in 14 ‘vanguards’ all over the nation.

Professor Rod Sheaff, who is part of the University’s Faculty of Business and Interim Director of the Institute for Social, Policy and Enterprise Research, and his colleagues looked at the way MCPs were used in other countries, in order to examine some of the assumptions being made about them in the UK. The work involved establishing what assumptions policymakers had about MCPs and how they would help reduce admissions and costs, then evaluating these assumptions against international research evidence.

Sheaff said, “Broadly, we found three things. The key thing is that members of the multidisciplinary care team are communicating effectively. This is by far the most important factor.”

“We also found for teams like this to work, everyone needs to be able to access patient information – the ideal would be a single patient record, that is accessible to social services as well. The tech side is not the problem – the problem is designing the system so practitioners can use it. Different approaches to privacy across different parts of health and social care are an element of this.”

“The third thing is that if you get the systems right, they do reduce unnecessary admissions of old people – if they are properly done. But it is less clear if, or why, they save money in the process.”

xAs well as Professor Sheaff, the team was made up of: Dr Sarah Brand, Dr Helen Lloyd, Amanda Wanner, Mauro Fornasiero and Professor Richard Byng from the Community and Primary Care Research Group at the University of Plymouth; Simon Briscoe and Professor Jose Valderas from the University of Exeter; and Mark Pearson of NIHR PenCLAHRC.

The study was published in Health Services and Delivery Research.