BMJ  2007;334:3-4 (6 January), doi:10.1136/bmj.39027.550324.47 (published 15 November 2006)

Editorials

Case management for elderly people in the community

The Evercare model improves quality of care but does not reduce emergency admissions or mortality

The first 150 words of the full text of this article appear below.

Reducing unplanned admissions to hospital is now a cornerstone of the commissioning plans of all primary care trusts as the national health service struggles with a rising tide of emergency admissions and a large financial deficit. The management and care of patients with long term conditions has become a priority; in particular, intervention to reduce the number of admissions of frail elderly patients with multiple chronic diseases. In this week's BMJ, Roland and colleagues report the impact of the Evercare approach to case management for elderly people living in the UK.¹

In 2002 the Department of Health started to fund innovative projects aimed at transforming chronic care and improving care for people with long term conditions, to reduce emergency admissions and, presumably, costs. The decision to pilot the Evercare model in 10 primary care trusts (PCTs) was based in part on a study from the United States which used nurse . . . [Full text of this article]

¹ Queen Mary's Hospital, Sidcup, Kent DA14 6LT

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Rapid Responses:

Read all Rapid Responses

The Castefields project was not an Evercare project and was not run by UnitedHealth Group

Richard Smith
bmj.com, 17 Nov 2006 [Full text]

Failure to evaluate puts services at risk

S. Michael Crawford
bmj.com, 17 Nov 2006 [Full text]

Peer review - an expensive, arbitrary lottery

JK Anand
bmj.com, 18 Nov 2006 [Full text]

Re: The Castefields project was not an Evercare project and was not run by UnitedHealth Group

David Black
bmj.com, 21 Nov 2006 [Full text]

Error in editorial

David A Black
bmj.com, 5 Jan 2007 [Full text]

Frustration, disappointment and unmet need!

Clive E Bowman
bmj.com, 10 Jan 2007 [Full text]

Community Matrons can work

Alexander Williams
bmj.com, 12 Jan 2007 [Full text]