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It set out that lists of frequent attenders and those ‘at higher risk of hospital admissions due to psychosocial needs’ should be generated at PCN or ICS level and these patients targeted with ‘proactive’ interventions – delivered by a multidisciplinary team. It said this follows work identifying that around 600 people in one area representing 1% of the population accounted for 1,925 ED attendances and 54,000 GP encounters over a 12-month period.Īccompanying guidance on the frequent attenders service said it would allow PCNs to ‘reduce unplanned admissions’ while at the same time ‘reducing reliance’ on primary care. In a letter sent to all GP practices and PCN clinical directors, NHS England said that all local commissioners should ‘consider targeted, proactive support for people who have a high probability of emergency admission, sometimes called high-frequency users’.
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The new ‘winter resilience plans’, published yesterday evening, said this comes ahead of what is expected to be a ‘very challenging winter’. PCNs and commissioners should ‘consider’ implementing ‘targeted proactive’ support for patients who are frequent attenders, NHS England’s new winter plan has said.
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