Simplifying problems, then solving them.

Creating Partnerships to bridge the gap between Care Providers and Health and Social Care Professionals.

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Building Teams to Simplify then Solve the Complex Problems.

Assembling diverse experts to break down intricate challenges, like DToC (13,815 patients awaiting discharge, January 2025), into manageable parts. Collaborative strategies streamline processes, reduce ED breaches (553,713 in January 2025), and improve patient outcomes.

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0ver 14,000 beds per day.

In February 2025 an average of 14,087 beds were occupied daily by patients who no longer met the Criteria to Reside.

Social Care bed blocking.

Approximately 24% of delays are due to awaiting home care, 16% for care home placements, and 24% for intermediate care.

Over £3.5bn wasted from the NHS Budget.

The annual cost of patients not meeting Criteria to Reside in NHS hospitals for 2025 is estimated to be over £3.5 billion.

01
Case Studies
Home to Assess Pilot

Brighton and Hove.

The service provided temporary furnished accommodation and 10 hours of weekly support, spread across seven days, to help patients rebuild community connections, manage mental health, and explore long-term housing options.

In depth
02
Case Studies
Reduction in ED Breeches

Barnsley.

Barnsley implemented a D2A model with a 7-day discharge hub, community assessments, and follow-up calls within 24 hours post-discharge. The model included pathways for minimal care (Pathway 0), home-based support (Pathway 1), and 24-hour care placement (Pathway 3).

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03
Case Studies
Cost Savings

Nottingham ICS.

This case study examines its implementation in Nottingham and Nottinghamshire Integrated Care System (ICS), focusing on financial savings, its impact on A&E waiting times, and its relevance to reducing Delayed Transfers of Care (DToC).

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Hospital beds.

UK Total (2022): Approximately 163,000 hospital beds were reported across the UK, with England accounting for 135,574, Scotland 20,533, Wales 10,562, and Northern Ireland 6,331.

Adult Social Care.

666,000 people were receiving long-term local authority arranged or provided adult social care, in England, as of 31 December 2024, 485,000 in community settings.

Trolley Waits.

In January 2025, 159,582 patients waited over four hours from the decision to admit to actual admission, and 61,529 waited over 12 hours, a record high.

Wasted Hub Beds.

Average occupancy of 80–85% for community beds (based on historical trends), approximately 750–1,050 community beds may be unoccupied daily in England (15–20% of 5,000–7,000 beds).

Assess Needs. Step 1
Match Carers. Step 2
Discharge Home. Step 3
Monitor Outcomes. Step 4
on demand home to assess, rapid discharge -
lower readmissions, lower costs -
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