A before and after study of the impact of Specialist Workers for Older People.

Kate Fletcher, Jonathan Mant

Research output: Contribution to journalArticle

2 Citations (Scopus)


BACKGROUND: Case management of vulnerable older people by Community Matrons has been introduced into the UK. A locally designed case management approach, The Specialist Workers for Older People (SWOP) Service, was implemented by a Central England Primary Care Trust. Here we report an evaluation of this service. METHODS: Before and after study of 418 people (207 before; 211 after) aged > or =75 at high risk of emergency hospital admission. SWOPs carry out assessments of social and medical needs, produce individual care plans, coordinate care and refer to appropriate agencies. Univariable analysis was used to determine the association of SWOPs on changes in hospital admission rates and primary care workload. RESULTS: There was a non-significant reduction in hospital admissions from 0.91 to 0.67 per patient. There was a significant increase in routine GP surgery visits, from an average 1.3 to 2.6 per patient. The number of emergency home visits decreased from an average 2.8 to 1.1 per patient (P <0.001). CONCLUSIONS: Case management might reduce hospital admissions and is potentially a cost-effective service. However, not all case management schemes are successful. With the introduction of Community Matrons, it is important to understand what elements of the SWOP service contributed to its success.
Original languageEnglish
Pages (from-to)335-40
Number of pages6
JournalJournal of Evaluation in Clinical Practice
Issue number2
Publication statusPublished - 1 Apr 2009


  • older people
  • long-term conditions
  • case management


Dive into the research topics of 'A before and after study of the impact of Specialist Workers for Older People.'. Together they form a unique fingerprint.

Cite this