Information Services Division (ISD) was keen to further develop the Scottish Patients at Risk of Readmission and Admission (SPARRA) tool to identify patients who may benefit from a more anticipatory approach to their care; planning for events or exacerbations to reduce the risk of emergency hospital admission.
SPARRA is a tool which predicts a patient’s risk of emergency admission; a patient with a SPARRA score of 50% has a one in two chance of being admitted to hospital in the following year.
To combat poverty and financial exclusion by improving take-up of older people’s benefits with particular emphasis on clients who have health problems, are housebound, or who live in remote areas.
The service aims to ensure that hard to reach older people are given an opportunity to claim the benefits and access the support that they require. Typically older people do not access benefits and support due to multiple barriers. The OPAS delivery model aims to overcome these barriers.
The project focused on Falkirk, Clackmannanshire, West Lothian, North Lanarkshire and Glasgow.
The negotiation of each organisation’s contribution to making the pathway work. Developing a pathway that is easy to access and offers the fallen person timely assistance. Promoting and embedding the pathway across all organisations.