Occupational therapists working with paramedics keep more than 75% of callers at home.
The North West Ambulance Service provides a response car and a paramedic, plus one whole time equivalent occupational therapist from East Lancashire Hospitals NHS Trust.
The aims of the service are to:
- Reduce unnecessary hospital admission due to social or non-medical factors.
- Reduce the number of older people presenting at emergency department following a fall.
- Reduce demand for ambulance response for green category falls incidents.
- Deliver immediate actions to support older people to remain safely at home following a fall.
- Signpost and/or refer to appropriate longer term support services
Impact: Pennine Lancashire Falls Response Service – activity in April 2015 Number of incidents attended – 49 Number of people who remained at home – 37 ( = 75%) Saving for non-conveyance – 37 (number) x £217 (Paramedic call out) + £126 (Emergency department tariff) = £12,691
The trust figures for April gave a 51% admission rate for patients aged 65 and over who are conveyed to emergency department/ urgent care centre by ambulance. 51% of Falls Response Service non-conveyance equals 19 patients avoiding hospital admission, which at the lowest healthcare resource group tariff for 5 days or less equates to a saving of £18,696. Total saving for April from FRS activity = £31,387. This equates to a potential saving of up to 95 bed days for April.