Reorganising a mental health service for elderly people to ensure most care can be given in the client's home has led to a dramatic decrease in admissions.
Length of inpatient stay has not fallen, probably because those now admitted are more severely ill.
The service is based on community mental health teams and places great reliance on healthcare
assistants.
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Financial penalties are being lifted from high-profile standards including cancer and elective waiting times, so far without attracting much attention. How is this happening? And will it work, asks Rob Findlay
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