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Utilisation management: A study of an initiative to provide community based alternatives to hospital admission

McGirr, S 2011, Utilisation management: A study of an initiative to provide community based alternatives to hospital admission , PhD thesis, Salford : University of Salford.

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    Abstract

    This report is a record and analysis of the introduction and development of a philosophy now known as Utilisation Management (UM), to a group of North West Health Communities between 2001 and the present day. The study began as an investigation into the use of one service "Rapid Response"; a local South Manchester initiative to provide an alternative for some patients to admission to hospital. As new learning very quickly emerged the learning journey developed into a wider review of the existing evidence, existing services and the new evidence that this programme developed. This evidence indicated how commissioning and provider organisations could transform services and processes in hospitals and communities to reduce "inappropriate admission" to hospital. Ultimately this work culminates in a new national programme "Utilisation Management" now embedded in all NHS Acute Hospital Contracts and is the core business of the North West Utilisation Management Team at Salford PCT. I developed the philosophy described in this dissertation and now established and described nationally, in "Ensuring Appropriateness of Care", (DH, 2006) through an Action Learning and Research approach supported by the Revans Institute for Action Learning and Research at Salford University.

    Item Type: Thesis (PhD)
    Contributors: Rooke, JA(Supervisor)
    Schools: Colleges and Schools > College of Science & Technology
    Colleges and Schools > College of Science & Technology > School of the Built Environment
    Depositing User: Institutional Repository
    Date Deposited: 03 Oct 2012 14:34
    Last Modified: 18 Feb 2014 14:24
    URI: http://usir.salford.ac.uk/id/eprint/26807

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