Insights and evidence 

Impact 1: Reducing Avoidable Emergency Department Presentations Through Telehealth-Enabled Early Recognition of Deterioration Authors: Zainab Almukhtar Tara Marshall Introduction Emergency department (ED) overcrowding is one of the most significant challenges facing healthcare systems in both the United Kingdom and Canada. Rising demand, increasing numbers of older adults living with frailty and multiple long-term conditions, workforce shortages and limited access to timely

At These Hands Academy, we believe value is not measured by the number of devices deployed, courses completed or observations recorded. Value is measured by what changes because of them. Does someone receive help earlier? Does a member of staff have the confidence to speak up? Does a neighbourhood team receive better information to make better decisions? Does someone remain safely in the place they call home? As health and social care moves towards Neighbourhood Health Servic

For those of you who have explored our pages or taken part in our training, you may already have met Maggie and Malcolm. A lot happens to Maggie and Malcolm in our stories, but they are not fictional in the way people might think. They are rooted in real lives, real people, and real communities. People you would recognise in your own neighbourhood. Malcolm, for example, plays the ukulele. And while “Malcolm” isn’t his real name, he is very real to me, because he’s based on my

Soft signs are the things we almost miss. They live in the quiet spaces between our words. In the pauses. The glances. The subtle changes that don’t quite make sense but stay with us. They are the things we feel, before we can explain them. And often, that feeling is enough. Because soft signs tell us that something isn’t quite right. Noticing is not the problem Most of us notice. A sigh that feels heavier than usual, a slower step, a hesitation where there was confidence bef

I’m delighted to share that our Connected Care Programme – Pilot to Scale Evaluation 2025 is now complete and available to read. Over the past year, together we’ve: Expanded our reach to over 100 care homes , connecting more than 3,000 residents to the system. Recorded thousands of NEWS2 scores and baseline observations, strengthening proactive care and improving patient safety. Achieved significant system savings through early intervention, helping people remain in the p

Reflecting on October, it has been a month filled with insightful experiences and learning. It started with my visit to the Care Show at...

The LeDeR programme, funded by NHS England and NHS Improvement, was established in 2017 to improve healthcare for people with a learning...

We are very proud to be recognised for our work in Leicester, Leicestershire and Rutland and be given the opportunity to invite others to...

We've previously published an evaluation on the LLR Connected Care Programme demonstrating system savings of £600,000 in the first four...

Leicester, Leicestershire, and Rutland (LLR) are one of the 42 integrated care systems (ICS) that have been newly formed across England...