Changes to health and social care delivery over the last 10 years have seen a move to greater provision of complex care in community settings and a wide variety of services aimed at preventing inappropriate acute hospital admission.
Proactive management of the care of people with long term conditions, maintaining frail older people at home to prevent early admission to long term care, and early facilitated discharge from hospital, are the focus for all health and social care providers.
Ensuring that assessment and care is provided at the right time, in the right place by the right person, maximises the use of resources, supports personal choice for the individual and develops a person centred approach. However, with the plethora of options now available it does mean that episodes of care will often not start and stop neatly within a service or a care environment.