Twitter chat – How do winter pressures affect hospital re-admissions?

By Phil McCarvill Head of Policy and Public Affairs, England Phil McCarvil and Michael Cooke during our Twitter chat on Friday 5 December



Last Friday, Marie Curie hosted a Twitter chat to discuss and share ideas about how winter pressures affect hospital re-admissions. The chat was hosted by me and our Head of Analytics Michael Cooke (that's us busy answering questions on the right).


We began by asking, What plans do you have in place in order to ensure you are ready for winter pressures? David Evans (@davidevansccg), NHS Confederation (@nhsconfed) and St Mungo’s Broadway (@MungosBroadway) shared examples of how they are preparing for winter pressures on their NHS services. It was suggested that clear care plans can play a part in enhancing an area’s capability to adapt to the winter pressures. Workforce retention and supply were raised as issues that affect care provision in community services. This will have an impact on keeping people at home and the ability to prevent unnecessary hospital admissions.


Care in the community


A theme that arose from the conversation was the benefit of care being delivered in the community, where appropriate. There is evidence from the Nuffield Trust that shows cost savings are possible when end of life care is provided in the community. Future plans for care provision need to be centred in the community, involve GPs and encompass more than just end of life care in order to be sustainable. Linked with the issue of cost is the effect of funding. NHS Continuing Health Care (CHC) funding is a significant factor in ensuring that people receive the right care at the end of life. There are examples around the country where CHC fast tracking is working well   and helping ensure people get the right care. However, there is a lack of data on the outcomes of this and the differences between conditions across all parts of the country.


More information


It was great to get people's thoughts and ideas during the Twitter chat but I know not everyone could make it. Use the links below to read more about how the chat went and find out how we work in partnership in the community. And if you think there's something we've missed, or if you'd like to share your thoughts on the topics we did cover, please do let us know in the comments below.