Posted on April 4, 2025
Short abstract
The SHarED (Supporting High impact users in Emergency Departments) project supported ED teams to introduce personalised care plans for high impact users. These plans enabled staff to engage with patients about their behaviour and needs and provided recommendations on how to interact with and care for patients. It also promoted collaboration between different specialist teams across the health and care system for more integrated care.
The evaluation of SHarED, conducted by NIHR ARC West, showed it reduced ED attendances by 33% and hospital admissions by 67% among high impact users. SHarED successfully promoted better and more integrated care for high impact users and gave practical support to staff working in very difficult environments.
Citation
Sillero-Rejon C, Kirbyshire M, Thorpe R, Myrin G, Evans C, Lloyd-Rees J, Bezer A, McLeod H. Report on improving care for high impact users of hospital emergency departments: a mixed-method evaluation of a regional quality improvement programme ‘Supporting High impact users in the Emergency Department’ (SHarED). NIHR ARC West, University of Bristol, Health Innovation West of England and University Hospitals Bristol and Weston NHS Foundation Trust.
