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Proactive Health Coaching in the English NHS

  • Research type

    Research Study

  • Full title

    Implementation of a Telephone-Based Case Management Intervention for Patients at risk of High Emergency Department Utilisation in the English NHS



  • Contact name

    Joachim Werr

  • Contact email

  • ISRCTN Number


  • Identifier

    2015-000810-23 , EudraCT

  • Duration of Study in the UK

    4 years, 0 months, 0 days

  • Research summary

    There is a relatively large group of patients with repeated emergency visits and admissions who disproportionally account for a significant utilization of healthcare resources. Several studies show that with an intervention focusing on patient activation, these patients can improve their health, increase their quality of life, and require fewer unplanned contacts with healthcare without any increases in planned care. This randomised controlled trial (RCT) has the objective of evaluating a proactive health coaching protocol implemented for patients at high risk of emergency department admissions. The protocol consists of regular and individualized contacts with a trained nurse and includes care coordination efforts as well as advice and training to the patient. During the study period, participants and the control group will be followed using health care utilization assessment. The intervention group will also be followed using patient recorded outcomes measures, Health Coaches recorded patient outcomes measures and patient activation measures. The overall goal of this study is to investigate whether frequent visitors to emergency departments can have reduced avoidable health care utilization through the active health control intervention. The study will be conducted in participation with Clinical Commissioning Groups and Hospitals in the trial sites, and will be conducted over a period of 4 years.

    York will be the only CCG in the first wave in order to iterate and refine the intervention. However, the intention is to open this up to other sites in different parts of the UK in coming waves. The intention is to also include those other sites in the same trial.

  • REC name

    London - Bromley Research Ethics Committee

  • REC reference


  • Date of REC Opinion

    7 Jul 2015

  • REC opinion

    Further Information Favourable Opinion

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