Authors' recommendations: There is little good quality comparative evidence to inform strategies for reducing unplanned admissions from care homes. • Much of the evidence for integration and community geriatric services comes from case studies which are not always well reported; any positive findings may not be easily replicated elsewhere. • Closer working between healthcare and care home staff (through dedicated GP or community geriatric services), protected training for care home staff, and implementing processes for stated end-of-life care preferences all appear promising. • NICE recommends that multifaceted interventions to prevent delirium should be implemented in long-term care settings. • The lack of good quality evidence in this area highlights the need to monitor the impact of changes made to the delivery of services especially in relation to resource use and patient experience.

Project Status: Completed

Year Published: 2014

URL for published report: http://www.york.ac.uk/inst/crd/pdf/Ev%20Briefing_unplanned%20admissions%20from%20care%20homes.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: England

Organisation Name: University of York

Contact Address: University of York, York, Y01 5DD, United Kingdom. Tel: +44 1904 321040, Fax: +44 1904 321041,

Contact Name: crd@york.ac.uk

Contact Email: crd@york.ac.uk

Copyright: University of York