ExtraCare's Chair, Martin Shreeve, walks us through the results of the findings in a three-minute video.
1. NHS costs reduce by 38%
The ExtraCare Charitable Trust model can result in significant savings for NHS budgets - over a 12 month period, total NHS costs (including GP visits, practice and district nurse visits and hospital appointments and admissions) reduce by 38% for ExtraCare residents in the sample across the period.
2. Unplanned hospital stays reduced from 8-14 days to 1-2 days
The ExtraCare Charitable Trust model is associated with a significant reduction in the duration of unplanned hospital stays, from an average of between 8-14 days to 1-2 days, promoting the efficient use of hospital beds.
3. 46% reduction in routine and regular GP visits
The ExtraCare Well-being Service provides accessible and informal (drop-in) support, offering preventative healthcare and ongoing day-to-day chronic illness care. ExtraCare residents used their GP more than the control sample at three and 12 months due to their relatively poorer health. Dring the 12 month period, ExtraCare residents' routine and planned GP appointments reduced by 46% whilst drop-ins to the Well-being Service increased.
4. Significant cost savings on social care
The research compared the cost of care provided at The ExtraCare Charitable Trust to the cost of care provided in people's homes in the wider community. It showed that ExtraCare's model is likely to offer significant potential savings in the cost of social care for local authority commissioners. The cost of providing lower level social care using the ExtraCare model was £1,222 less per person per year (17.8% less) than providing the same level of care in the wider community (on average, with variation by local authority) and the cost of higher level social care was £4,556 less (26% less) per person per year.
5. 19% of residents who are pre-frail at baseline return to resilient state 18 months later
Frailty and especially pre-frail states are changeable - however, a significant number (19%) of new ExtraCare residents designated as "pre-frail" at baseline had returnd to a resilient state 18 months later.
6. 14.8% reduction in depressive symptoms in 18 months
The ExtraCare Charitable Trust model delivers a 14.8% reduction in depressive symptoms over 18 months. This was accompanied by a 64.3% reduction in people with significant clinical level depression over the same period.
7. Residents with mobility issues show the greatest reduction in depressive symptoms
Low mobility is a significant predictor of low mood and depressive symptoms amongst older people. However, after 18 months at ExtraCare, those with low mobility showed the greatest reduction in depressive symptoms and those whose mobility reduced over the period did not generally become more significantly depressed. At the end of the period, for ExtraCare residents, serious depression can no longer be predicted by mobility.
8. 10.1% improvement in autobiographical memory in 18 months
At baseline, new ExtraCare residents had more difficulties with cognitive functions, independence, health perceptions, depression and anxiety than the control sample. After three months these differences have reduced and some have disappeared, with significant improvements in psychological well-being, memory and social interaction for ExtraCare residents. At 18 months, there is a 10.1% improvement in ExtraCare residents' autobiographical memory.
9. Successfully removed differences in self-perceived health which are initially related to socio-economic status
The ExtraCare Charitable Trust model seems to level the playing field by removing differences in self-perceived health which are initially related to socio-economic status. ExtraCare residents who are socio-economically disadvantaged improve in their perceptions of their own health.
10. Age matters less
Whilst age had an impact on cognition (memory etc) for both ExtraCare residents and the control group, age only had an impact on change in functional limitations for control participants. This is a function of the fact that decisions to move into ExtraCare are needs-related rather than age-related, but is also strong confirmation that age has less impact on self-perceived ability to cope when living in the integrated supported environment provided by The ExtraCare Charitable Trust.