Unplanned Hospital Use

CLICS was associated with a 2.1 percentage point reduction in unplanned hospital admissions compared with matched controls. CLICS was associated with a 2.4 percentage point reduction in unplanned A&E attendances compared with controls. Unplanned hospital admissions gradually decreased after CLICS began and became statistically significantly lower than controls after four quarters. The largest statistically significant A&E reductions appeared in the last two quarters of follow-up. The study selected unplanned hospital admissions and unplanned accident and emergency attendances as outcomes because they burden patients, families, and health services and can indicate health and social care inequalities.