Delivering new models of care

“Patients have been described as the greatest untapped resource in healthcare. Recognising their capacity and that of local communities as co-producers of health, could do much to transform quality. What is needed is a shift away from a reactive, disease-focused, fragmented model of care, towards one that is more proactive, holistic and preventative, in which people are encouraged to play a central role in managing their own care”

Angela Coulter, Kings Fund and Fabian Society 


To deliver the new models of care,  commissioners and providers need to collaborate to prevent and avoid admissions and reduce reliance on acute bed capacity. This requires integrated and innovative approaches to utilisation management, effective long-term condition programmes and redesign of community services.

The key requirements are:

Bed Utilisation Review

In a typical acute provider, 30% of acute admissions and current inpatients do not need acute care.   Bed utilisation review identifies the scope for change at local level and sets out practical proposals for realising this opportunity.

Vertically Intergrated System

Concurrent Review

A live utilisation management process which avoids admissions,  reduces length of stay and directs resources to the right care, right place, right time.

Guided Care

An evidence based approach to prevent  unscheduled admissions, improve outcomes and reduce costs for the 5% who use 50% of  healthcare resources.

Transforming Community Services

Vertical integration is a great opportunity both to redesign community hospitals and realise the opportunities in hospital at home.

Levels of Care

Integrated care requires the commissioning and provision of services according to the levels of care from acute to home care and show a significant cost benefit.

Our consultants have established each of these approaches as practical, work-able solutions which are delivering benefits in the NHS today.  


What our clients say;

“Using their extensive knowledge of international healthcare models and their vast experience of UK healthcare, Conrane were able to frame a strategic outline case that described best how we can respond to the challenges of the 5 Year Forward View. The model that resulted from their work has now become the blueprint for the next step on our journey towards delivering primary care at scale.”

Managing Director – large GP Federation in Yorkshire 2016


The approaches and their benefits are explained in the accompanying series of information sheets that you can download from the Resources section.