Avoidable Attendance and Admissions in Long Term Conditions
Preventing unnecessary ED attendances and avoiding emergency hospital admissions is a major priority for the NHS. 

People with long-term conditions are frequent users of emergency services, and it has been estimated that two thirds of emergency admissions are in people with long-term conditions. The overall aim of our theme is to use large routine data to identify key patient groups amenable to alternative care and implement and evaluate interventions to reduce avoidable attendances and unplanned admissions for patients with long-term conditions.

We have established collaborations with key stakeholders including our matched funded theme partners (Sheffield Teaching Hospitals NHS Foundation Trust; Yorkshire Ambulance Service NHS Trust; Doncaster and Bassetlaw Hospital NHS Foundation Trust; Leeds Teaching Hospitals NHS Trust) and other NHS providers, commissioners and patient groups in Yorkshire and Humber. 

There are currently 15 projects underway within the theme focused on the management of patients with long-term conditions in the pre-hospital setting, the emergency department and the acute admission wards. These include our key big data study piloting the region’s first emergency and urgent care routine dataset linking pre-hospital and hospital data, which has the agreement of all 13 acute hospital NHS trusts in Yorkshire and Humber and Yorkshire Ambulance Service NHS Trust to participate. The theme will continue to collaborate with our partners to develop high quality evidence to answer key local NHS and user priorities in emergency and urgent care.