Reducing emergency and elective admissions

East MidlandsGeneric Health Relevance
Published Date: 1 Mar 2015

Reducing emergency and elective admissions

People seeing their own doctor is associated with a reduction in both emergency and elective admissions

Who needs to know?
Primary Care teams.

What have we found?
• 35% increase in emergency admissions and a 28% increase in non-emergency admissions to hospital 1999 - 2010.
• Emergency and elective admissions to hospital increase in association with a patient’s ability to see their own doctor.
• 1% increase in the number of people able to see their own doctor associated with a reduction of 7.6 elective admissions p.a per practice.

Findings and implications

Between 1999 - 2000 and 2009 - 2010 there has been a significant increase in the number of admissions to hospital.
Elective admissions (i.e. non-emergency) have increased by 28% to 9.4 million a year whilst emergency admissions have increased by 35%. Some of these admissions are potentially avoidable.
People with complex or worrying problems prefer to see a GP they know and trust. Research from NIHR CLAHRC East Midlands has found that an increase in the number of people able to see their own doctor was associated with a reduction in both emergency and elective admissions.
Reducing unplanned admissions is a key element of the Quality Innovation Productivity and Prevention (QIPP) agenda.