Identifying and quantifying opportunities to improve care home utilisation of London Ambulance Service resources



  • In October 2022, NHSE outlined one its key objectives to reduce unwarranted variation in ambulance utilisation by care homes as part of the ‘Going Further for Winter Resilience’ plans
  • In response, NHSE London region commissioned TN for an intensive programme. We worked with community providers, social care and the LAS to generate insights on care home utilisation and support effective decision-making on use of resources in winter 2022


Key findings

Demand for ambulance resources from care home residents is growing – yet many incidents could be treated using alternative pathways to avoid hospital conveyances and admissions
Viewing by care home provider group, we also found activity rates vary between provider groups (even those with similar archetypes), potentially driven by differences in provider policies
Viewing care homes by archetype (see Figures 5 and 6), we found:


We worked alongside experts (e.g., London Ambulance Service executives, NHS Improvement & Digital colleagues, ICB leads, care home directors) to co-develop drivers of unwarranted variance in care home utilisation and best practice initiatives for effective care provision in care homes. NHSE London region teams then took forward the recommendations by working closely with health and social colleagues across the five London ICBs.
Improvement initiatives
Increasing service integration

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