Table 6

Summary of avoided admission studies

First author, year [reference number]Study designStudy subjectsSummary of findings
Gray, 2009 [35]Before-after intervention; Pilot study105 patient referrals made by GPsAA rate of 9.5% with intervention. 60% UC.
ECP used as a substitute for a GP in 90.5% of cases. At 2005 prices, estimated cost per case for ECP response was £130 compared with £115 for AS
Gray, 2008 [36]Before-after interventionPatients with breathing difficulties or an elderly patient:1316 contactsECPs decreased admissions in both patient groups at initial contact and at 28 days (p<0.05)
Coates, 2012 [37Review of patient records172 patient casesHealthcare professionals considered the admission avoidance rate to be 10–15% (11.6% from ECPs; 15.1% from ED consultant; 9.9% from a GP)
  • AA, admission avoidance; AS, ambulance service; ECP, emergency care practitioner; GP, general practitioner setting; UC, usual care.