We are proud to publish a write-up of methodology and impact related to the Bristol City Council ‘Better Lives’ programme IMPOWER is supporting. The programme is introducing a new demand management approach to adult social care, to improve outcomes for service users and at the same time reduce costs.
Providing evidence of the results of demand management is challenging as the impacts are often felt far from the point of change or intervention. This paper explains IMPOWER’s Trajectory Management approach, which is helping both to capture how system improvements lead to outcomes, and to ensure that the changes are sustainable. Trajectory Management is a core element of EDGEWORK, IMPOWER’s unique approach to solving complex problems.
The key impacts to date in Bristol are extremely impressive, including a 9% reduction in the number of people in nursing homes over a six month period (with a full year impact of £3 million saved) and a 120% increase in telephone calls resolved at the council’s front door.