PBC pioneers reduce referrals by a third

Early adopters of practice-based commissioning (PBC) have cut referrals for hospital treatment by 25 to 33 per cent according to the DoH.

A report on the early adopters of PBC was published on the same day as latest figures showing 96 per cent of practices are now receiving incentive payments to take part in PBC.

The DoH said if these results were replicated across the entire NHS it would see 2.5 million more patients receiving care in the community.

One of the early adopter sites in South Staffordshire used PBC to provide better care packages for older patients with long-term conditions.

Consultants in mental health and geriatrics were based in primary care along with social workers. Community nurses were integrated with practice nurse teams and a grant from the Alzheimer's Society was used to purchase the local residential home for respite care.

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