The non-elective admissions measure represents the number of people who make unplanned visits to hospital, often urgently and usually via Accident and Emergency. The formula for calculating the measure is the total non-elective admissions for Central Bedfordshire residents divided by the population of Central Bedfordshire. The target for the Central Bedfordshire area is identified by the national Better Care Fund programme. The challenges relating to this measure have been well documented in the national media and between June 2015 and June 2017 the figure for Central Bedfordshire increased from 2,316 per 100,000 population to 2,652.
Performance from October to December 2018 did not meet the target of 2,519 per 100,000 at 3,288. For Central Bedfordshire as an authority without an acute trust within its boundary, the monitoring of non-elective admissions is challenging, as residents travel to a number of different hospitals out of area. A remote monitoring system has gone live within a number of Central Bedfordshire care homes. This and other initiatives, including complex care support, are helping to reduce the number of avoidable callouts and subsequent admissions from care homes. In addition, a number of care homes have begun using gait analysis tools to assess individual resident fall risks and help reduce the likelihood of falls.