Transition between inpatient hospital settings and community or care home settings for adults with social care needs

Recommendation ID: NG27/4
Question: Geriatric assessment and care:- What is the cost-effectiveness of comprehensive geriatric assessment and care on specialist units compared with alternative models of care on general wards?
Any explanatory notes (if applicable): Why this is important:- Currently there is no UK evidence in this area.
International evidence (mainly from the US) and evidence from the economic analysis carried out for this guideline suggest that care in a specialist unit is likely to be cost effective. But in England most older people – including those with complex needs – are treated on general wards.
It is important to establish the incremental cost and outcomes of provision by mobile teams working on general wards compared with specialist units. Costs need to include the use of health and social care resources (including in the community and care homes) as well as unpaid care.
Data are needed for costs and outcomes 6 to 12 months after discharge: the time horizon should be sufficient to measure the effects on mortality, hospital readmissions and care home admissions.

Source guidance details

Comes from guidance: Transition between inpatient hospital settings and community or care home settings for adults with social care needs
Number: NG27
Date issued: December 2015

Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No
Last Reviewed	31/12/2015