Identifying high risk patients

RAIDR flagged that a practice with an older demographic had a significantly higher risk of falls / fracture risk for their population than other practices in the CCG. Despite the practice believing that they managed the older element of their population well, RAIDR highlighted that a number of key elements such as lead GP and care plans were not in place for a large number of their highest risk patients. Using the RAIDR Primary Care dashboard, the practice was able to identify the population that needed intervention. With access to the patient NHS number, the GPs were able to review patients and establish care plans where appropriate therefore improving patient care and delivering cost saving for the practice.