Shifting the balance of care: Great expectations

Authors: Imison C, Curry N, Holder H, Castle-Clarke S, Nimmons D, Appleby J, Thorlby R and Lombardo S.

Source: Nuffield Trust, UK

This research draws on an extensive literature review to assess the realism of the narrative that moving care out of hospital will save money. It explores five key areas: elective care, urgent and emergency care, admission avoidance and easier discharge, at risk populations, and self-care.

Demographic and other drivers create an imperative to shift the balance of care from hospital to community. This report aims to inform the development of Sustainability and Transformation Plans (STP)s ensure that they are drawing on the best available evidence. It also seeks to dispel some widely held myths about the ‘magic bullet’ of shifting care into the community in the UK.

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