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2012 Conference Presentation

Case management United Kingdom

6 September 2012

Making a success of case management: key lessons in delivery and design

Nick Goodwin, The King's Fund, United Kingdom
Shilpa Ross, The Nuffield Trust, London, United Kingdom
Natasha Curry,


Case management is a well-established way of integrating services around the complex needs of people with long-term conditions. It is a targeted, community-based and pro-active approach that identifies individuals at high risk of hospital admission, assesses their needs, produces a personal care plan, and ensures co-ordination of that plan. However, evidence to date suggests that case management is not always implemented in a cost-effective way or to the benefit of patients and carers.

This paper, based on a literature review undertaken by The King's Fund in the UK, examines how this key strategy can improve delivery of integrated care for older people and those with long-term conditions. The paper explores the questions:
• What are the core components of a case management programme?
• What are the benefits of case management when it is implemented effectively?
• What factors need to be in place for successful case management?

For those implementing and delivering case management programmes, the paper outlines those core components that are required if they are to be successful. It concludes that case management programmes have significant potential to deliver both better care for patients and cost savings. However, to do so they must be well designed, involve appropriate and professionally trained case managers and care teams and be embedded in a wider system that supports and values integrated and co-ordinated care.


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