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

McGirr, S

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.

Citation

McGirr, S. Utilisation management : a study of an initiative to provide community based alternatives to hospital admission. (Thesis). Salford : University of Salford

• Thesis Type: Thesis
• Deposit Date: Oct 3, 2012
• Award Date: Jan 1, 2011