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Proactive interventions in Lincolnshire reduce emergency admissions by 58%

To address this, Lincolnshire introduced two dedicated HIU leads to provide non clinical, personalised support. By engaging patients in their preferred settings, the team uncovered the root causes of frequent A&E visits and connected them to relevant resources. Working with voluntary organisations, social prescribers, and local councils, the HIU team developed tailored care plans, helping individuals build resilience and access An evaluation showed that investing £80,000 annually in 2 link workers delivered a 3:1 return on investment within 6 months, preventing £230,000 in emergency admissions. This led to a 58% reduction in admissions and a 41% drop in A&E attendance. This success was made possible by Lincolnshire’s linked data model, which enabled system-wide impact measurement. By shifting to proactive care, Lincolnshire ICS is using data to identify at-risk patients, empowering GPs and community teams to intervene earlier, prevent illness, and reduce hospital admissions. community support. Measurable impact

Through a strategic partnership with Optum, Lincolnshire Integrated Care Board (ICB) created a robust Population Health Management (PHM) infrastructure to improve decision-making, resource allocation, and intervention impact measurement. A few years on, Lincolnshire now has a person-level linked dataset covering 100% of the population, enabling them to track patient journeys, monitor health outcomes, and analyse social determinants like housing instability and isolation. Using advanced analytics, they can identify health inequalities and proactively support those most at risk. Matt Gaunt, Deputy Chief Executive and Director of Finance at Lincolnshire ICB, highlights the impact: “It’s already clear that having a fully costed, linked data model has been transformative for Lincolnshire, helping us shift resources toward proactive and preventative interventions and challenging everyone to think, act, and work differently.” Reducing emergency care use with proactive, personalised care One early initiative targeted high A&E attendance. The High Intensity Use (HIU) programme identified frequent adult visitors to A&E, many of whom faced non medical challenges like loneliness, poor housing, or financial struggles.

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