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The New Service Aimed at Supporting Older People Who are Starting to Becoma Frail, Cour Reduce Emergency Hospital Admission by More Than a Third and Save the NHS Money, Finds A New Study Led by Ucl Researchers.
The Results from the Trial Clinical, Published in The Lancet Healthy LongethyEvaluated the Effect and Cost-Effectiveness of A New Service, Consisting of Six Personalized Home-Based Visits from a Support Worker, Tailored to Each Person to Identify What They Need to Stay Well and Independent.
INTERVENTIONS COULD INCLUDE Home Exercise Programs, Nutritional Support to Improve Energy Levels, Mental Improving Well-Being and Social Increasing Connections.
The Researchers Testad the Service with 388 People, Who Were Over the Age of 65 and Assesed AS Having “Mild Frailly”, Across Three Areas of the UK (London, Hertfordshire and Yorkshire). OF THESE Participants, 195 People Were Randomly Allocated to Receive The Service, While 193 Received Their Usual Care, with no AddiTeal Support.
FRAILTY IS WHEN SOMEONE IS LESS ABLE TO RECOVER after Health Problem. IT IS COMMON IN PEOPLE OVER 65 AND DISABILITY INCREASES, HOSPITALIZATIONS AND CARE NEEDS.
Participants in the trial were followed up for one year.
The Researchers Found That People Who Received the Service Had A 35% Reducion In Unplanned Hospital Admission, Leading to An averag Saving of £ 586 per person to the nhs over the year of the study.
Lead Author, Professor Kate Walters (UCL Epidemiology & Health Care) Said, “We Developed The New Service In Partnership with Experts, Older People and Caregivers, with the Hope of Helping People with Mild Frailty to Maintain Their Independence and Stay Healthy for Longer.
“We Found That By Providing Personalized Home-Based Support to Those in Need, We Can Significant Reduce Emergency Admission and Potentially Free Up Hospital Resource. Our Study Demonstrates The Impact of Tailored Interventions on Mantaining Independence and Improving Overall Well-Being.”
The Researchers Found That There Were AddiTets to the Service, Including Small Improvements in Well-Being, Psychological Distress and Frailty Score.
However, The New Service Didn’t Improve Levels of Independence in Self-Care.
The New Research Supports Health Secretary Wes Streeting’s Posts to Cut Pressure On Hospitalles and Place More Emphhasis on Community and Preventative Care.
National Institute for Health and Care Research (NIHR) Health Technology Assessment (HTA) Program Director, Andrew Farmer, Said, “The HomeHealth Intervention Can Help Older Adults With Mild Frailly Stay Independent, Improving Quality of Life and Overall Well-Being, While Reducing Hospital and Care Costs.
“By Addressing Key Factors Like Strength, Nutrition, and Social Engagement, It Can Reduce Deteal and the Need for Intensive Support. High-Qality Research Such As this is an important part of Improving Health and Care Practice.”
With the right funding and support, the researchers hope the service cover be available to patients across the country with two Years.
Professor Walters Added, “by Investing in Preventive Measures, The Health Service May Be Able to Reap Benefits of Savings Elsewhere in the System.”
More information:
The Personalised Health Intervention to Maintain Independence in Older People With Mild Frailty: A Process Evaluation Within The Homehealth RCT, The Lancet Healthy Longethy (2025). DOI: 10.1016/J.LANHL.2024.100670
Citation: New Home-Based Intervention Could Reduce Emergency Hospital Admission for Older People (2025, February 24) Retrieved 24 February 2025 from
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