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Reducing emergency bed-days for older people? Network governance lessons from the ‘Improving the Future for Older People’ programme

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Listed:
  • Sheaff, Rod
  • Windle, Karen
  • Wistow, Gerald
  • Ashby, Sue
  • Beech, Roger
  • Dickinson, Angela
  • Henderson, Catherine
  • Knapp, Martin

Abstract

In 2007, the UK government set performance targets and public service agreements to control the escalation of emergency bed-days. Some years earlier, nine English local authorities had each created local networks with their health and third sector partners to tackle this increase. These networks formed the ‘Improving the Future for Older People' initiative (IFOP), one strand of the national ‘Innovation Forum’ programme, set up in 2003. The nine sites set themselves one headline target to be achieved jointly over three years; a 20 per cent reduction in the number of emergency bed-days used by people aged 75 and over. Three ancillary targets were also monitored: emergency admissions, delayed discharges and project sustainability. Collectively the sites exceeded their headline target.

Suggested Citation

  • Sheaff, Rod & Windle, Karen & Wistow, Gerald & Ashby, Sue & Beech, Roger & Dickinson, Angela & Henderson, Catherine & Knapp, Martin, 2014. "Reducing emergency bed-days for older people? Network governance lessons from the ‘Improving the Future for Older People’ programme," Social Science & Medicine, Elsevier, vol. 106(C), pages 59-66.
    • Handle: RePEc:eee:socmed:v:106:y:2014:i:c:p:59-66
    DOI: 10.1016/j.socscimed.2014.01.033
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    References listed on IDEAS

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    1. Styrborn, Karin & Thorslund, Mats, 1993. "`Bed-blockers': Delayed discharge of hospital patients in a nationwide perspective in Sweden," Health Policy, Elsevier, vol. 26(2), pages 155-170, December.
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    Cited by:

    1. Richard A. Courtney, 2018. "Network governance in the heritage ecology," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 22(3), pages 689-705, September.
    2. Arntsen, Bjørnulf & Torjesen, Dag Olaf & Karlsen, Tor-Ivar, 2020. "Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study," Social Science & Medicine, Elsevier, vol. 258(C).

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