AI Identifies High Users Of A&E To Reduce Demand

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Busy emergency department with patients and healthcare professionals.



Busy emergency department with patients and healthcare professionals.


The National Health Service (NHS) is leveraging artificial intelligence (AI) to identify patients who frequently visit Accident & Emergency (A&E) departments. This innovative approach aims to provide targeted support to these individuals, ultimately reducing the strain on emergency services, especially during the demanding winter months.


Key Takeaways

  • The NHS has implemented High Intensity Use (HIU) services in 125 A&E departments across England.

  • AI-powered prediction software is used to identify frequent A&E attendees.

  • Proactive support includes one-to-one coaching and management of long-term health conditions.

  • The initiative has already shown significant reductions in A&E visits for high users.


The Need For Change

Every year, over 360,000 patients in the UK visit A&E more than five times, often due to underlying issues such as poverty and social isolation. The NHS recognises the urgent need to address these challenges, particularly as winter approaches and healthcare resources become increasingly strained.


Busy emergency department with patients and healthcare professionals.


How AI Is Being Utilised

The HIU services employ AI to analyse routinely collected hospital data, identifying patients who are likely to require additional support. Once identified, these patients receive personalised care, including:


  • One-to-one coaching in their homes.

  • Assistance with managing long-term conditions like asthma and diabetes.

  • Support in addressing social issues that contribute to their frequent A&E visits.


Success Stories

The implementation of HIU services has already yielded impressive results. For instance:


  • At South Tees Hospitals NHS Foundation Trust, a dedicated worker helped reduce A&E visits for 20 frequent attenders from 33 visits per year to just 15.

  • New Cross Hospital in Wolverhampton reported a 58% reduction in A&E attendance among frequent users by combining community outreach with clinical support.

  • Norfolk Community Health and Care NHS Trust worked with over 400 high-frequency attenders, achieving a 62% reduction in hospital admissions.


The Broader Impact

This initiative not only aims to alleviate pressure on A&E departments but also seeks to improve overall health outcomes for vulnerable populations. By addressing the root causes of frequent hospital visits, the NHS is moving towards a more preventive healthcare model. Health Minister Karin Smyth highlighted the dual benefits of this approach, stating it provides essential support to vulnerable patients while saving valuable time for busy A&E staff.


Looking Ahead

As the NHS continues to adapt and innovate, the challenge will be to maintain the momentum of the HIU initiative and expand its reach. The commitment to using AI technology for timely interventions is a crucial step in transforming how care is delivered to those who need it most. By focusing on preventive care, the NHS aims to ensure that A&E services remain available for those who truly require them, ultimately fostering a healthier population and a more efficient healthcare system.

Sources



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