The Actuarial Profession, Staple Inn Hall, High Holborn, London, WC1V 7QJ, 16:30, 28 April 2009

This seminar featured new research evaluating ‘care coordination services’ and its potential for creating preventative savings in health and social care.

This is a critical period for the English social care system. This year will see the publication of a Green Paper setting out the Government’s vision for social care reform. Simultaneously, public finances are under unprecedented strain. Like all aspects of public spending, the social care system faces a period of intense budgetary pressure, regardless of projected increases in demand for social care associated with population ageing.

Now is therefore an excellent time to explore how changes in service design and delivery can achieve cost savings across the health and social care system. There has long been interest in whether the identification of potentially vulnerable older people at risk of unnecessary hospital admission, together with the provision of more holistic packages of support and information, could be effective in preventing higher levels of need and costs.

This seminar featured a presentation of new research from the Cass Business School evaluating care coordination services developed in the London Borough of Brent under the aegis of the Department of Health’s ‘Partnerships for Older People’s Projects’. This presentation can be found by clicking 'Download a PDF' at the bottom of this page.

The audience comprised of service commissioners from health and social care, academics, policy makers, civil servants, Actuaries, academic researchers, insurers, the third sector, a journalist and people that actually deliver the service the care coordinators and a GP.

The event explored:

  • How should resources be directed at low-level types of support, which do not qualify as health or social care, but which can generate savings?
  • What types of delivery agents from across the public, private and third-sectors are appropriate for delivering preventative interventions?
  • If cost-savings are possible from the right kind of preventative interventions, how can policymakers align the interests of those agencies funding such services and those seeing the benefits?

Speakers included:

  • Professor Les Mayhew, Cass Business School
  • Guy Robertson, National Programme Lead - Prevention and Early Intervention Older People and Dementia Division Social Care, Local Government & Partnerships, Department of Health
  • Christabel Shawcross, Assistant Director of Community Care, London Borough of Brent
  • Thirza Sawtell, Director of Strategic Commissioning, NHS Brent
  • Stephen Burke, Chief Executive, Counsel & Care

A paper published December 2008 online by the Health Care Management Science journal entitled ‘On the effectiveness of care co-ordination services aimed at preventing hospital admissions and emergency attendances’ by Professor Mayhew was available at the event and can be downloaded at

‘The economic, health and social benefits of care co-ordination for older people- The Integrated Care Co-ordination Service (ICCS)’, published by the Cass Business School was also available at the event and can be downloaded at