Moving healthcare closer to home: implementation considerations

SCIE Social Care Online
Publication date:
01 January 2015


This paper is part of a suite of materials developed to support providers and commissioners making decisions about schemes to move healthcare currently provided in acute hospitals to community-based settings. It describe the five most frequently mentioned implementation challenges and how providers and commissioners have tackled some of them to help the sector plan and implement community-based healthcare schemes. The five challenges are: ensuring the scheme targets the intended patients; meeting the needs of higher severity patients; recruiting, managing and motivating the right staff; building credibility and scale; and collecting data to evaluate effectiveness and setting payment incentives.