This session explored the findings of the CLEAR Anticipatory Care (AC) programme ahead of the phased implementation of AC services nationally from April 2022. Clinical staff across five primary care networks (PCNs) led CLEAR innovation projects to develop new ways of working to improve anticipatory care.
Anticipatory care is one of the national service specifications outlined as part of the network contract DES and supports the prevention aims of the NHS Long-Term Plan. It focuses on providing proactive care for patients most at risk of adverse health outcomes who would benefit most from planned, coordinated, and personalised care, enabling them to live well and independently for longer.
With practices facing unprecedented demand and little time to prioritise care for patients with long term conditions, the five CLEAR project teams made 20 recommendations – including dedicated anticipatory care teams, the creation of a dementia case management service, and improved data coding. The total productivity savings – through reduced GP appointments, ED attendances and emergency hospital admissions – were estimated at £1.5million.
Claire Brewster, CLEAR Anticipatory Care Clinical Lead, former CLEAR Associate and Frailty Specialist Nurse
SR Melissa Lawton, Complex Case Nurse, Hyde PCN, and CLEAR Anticipatory Care Associate
Margaret Macklin, CLEAR Anticipatory Care Associate representing East Warrington PCN (Former Head of Service, Adult Social Care)