I am delighted to have commissioned and published this analysis. The first step towards improvement is to understand what you need to change; this report is a position statement on ambulatory care sensitive admissions for the region and, as with all the best analysis, will prompt you to ask more probing questions and discuss further what action can be taken in your locality. The analysis presented in this report, alongside the associated analytical tool, provides authoritative, detailed information on emergency hospital admissions for ambulatory care sensitive conditions. The report also highlights areas of good practice from which lessons can be learned. I hope to see this spread across the region, shaping strong support and learning networks between peers. I trust that this report will support the spread of existing best practice, and help commissioners and providers to work better to deliver the transformation of health and care services that is needed to ensure that people living in Kent and Medway, Surrey and Sussex receive consistently high quality care when and where they need it. Guy Boersma – Managing Director of Kent, Surrey and Sussex AHSN
The Health Foundation and Nuffield Trust highlighted the need to manage Ambulatory Care Sensitive (ACS) conditions to reduce the need for hospital admissions across the south east.
Kent, Surrey and Sussex Academic Health Science Network (KSS AHSN) commissioned SCW to develop a deep-dive platform to perform data analysis. The platform needed to identify and reduce avoidable emergency admissions, support QIPP plans through awareness raising of ACS conditions across the region, and support sustainable change in regional strategies for out of hours care.
Our deep dive analysis evidenced that ACS conditions in the south east were low, but increasing. In addition, chronic ACS conditions showed limited growth; offering a stark contrast to the increasing demands of an aging population. Further analysis illustrated a rapid growth in ‘other and vaccine preventable’ ACS admission rates, as well as a steady increase in acute ACS conditions.
Our findings enabled KSS AHSN to have a complete understanding of what they could change to ensure the correct type of care was received by their patients.
- A deep-dive report was developed to illustrate the background of ACS in the region giving a true insight for the customer.
- Analysis reports generated from our work highlighted the evidence
for change our customers required to develop their QIPP plans.
- We also offered solutions
and support for other local organisations.