Review of one-to-one care packages. Delivered.

The Challenge

In 2022, Buckinghamshire, Oxfordshire and Berkshire West ICB (BOB ICB) found a noticeable increase in additional one-to-one care packages in the Oxford area, which led to a review to explore the reasons for and solutions to the sharp rise in provision.

A number of factors were found to be causing the increased award, including national factors such as the Covid-19 pandemic, high continuing care loads, and elevated staff sickness.

Liaison Care was asked to examine the end-to-end process, and make recommendations to improve the clinical and social outcomes for clients.

As the review commenced, an increased spend from £1million to £4.5million was predicted in the area of one-to-one care alone.

The Solution

Liaison Care’s clinical experts initially reviewed 34 cases and found there was an opportunity for immediate reduction on financial expenditure, if recommendations were agreed to and followed.

The reviews and recommendations identified causes for the financial increase and a detailed view of what was driving the demand for one-to-one care.

It also explored one-to-one care delivery in line with the individual contract agreements and one-to-one packages, compared these to the health needs of the individual, and identified area where the care contracted and provided was not required by the patient.