Table 3

Effect of Integrated Care Management and additional hospital costs

OutcomeRate ratio* (95% CI)P valueExpected change per 1000 Integrated Care Management casesAdditional hospital costs incurred per patient care managed
A&E attendance1.000 (0.995 to 1.006)0.911NS†£0
Emergency admissions1.005 (0.998 to 1.011)0.190NS£0
Emergency admissions for ACSCs1.005 (0.992 to 1.017)0.476NS£0
Elective admissions1.024 (1.018 to 1.030)<0.0011501£5858
Outpatient attendance1.008 (1.006 to 1.010)<0.0014172£576
  • *Rate ratios for model 1 represent the relative change in the rate of admission compared to what would have been expected in the absence of SLIC activity. A rate ratio of 1 indicates no change, whereas a rate ratio greater than 1 represents an increase, and a rate ratio less than 1 represents a decrease, in admissions.

  • †No significant change.

  • A&E, accident and emergency; ACSCs, ambulatory care sensitive conditions.