Mr Bradley was reerred to theBritish Red Cross as he could notcope alone and particularly neededhelp with paperwork, which he wasnding overwhelming.From an initial visit to Mr Bradley,we ound that he was extremelydepressed and lonely. He wasnot eating or drinking much, otengoing or days with no ood. Thiswas particularly concerning givenhis diabetes and regular insulininjections. He was also very worriedabout his nances as his ex-partnerhad dealt with money issues.We visited Mr Bradley once a dayand oered practical and emotionalsupport to help him get back onhis eet. We helped him with hispaperwork, and in the course o thissupport we discovered he had bankaccounts in his name that he wasunaware o, and that his ex-partnerhad taken both his passport andbirth certicate with her.We alerted the saeguardingocer to Mr Bradley’s nancialconcerns. We helped him ll outorms to declare his passport andbirth certicate as lost or stolenand helped him complete and sendhis benets orms. We also edback to Mr Bradley’s GP ourconcerns about his diet, andorganised regular deliveries o prepared meals to ensure that hewould be eating properly.We then put Mr Bradley in touch withvarious other orms o help, includingarranging a visit rom his diabeticnurse, linking him into a localberiending service, and organisinga meeting with the Citizens AdviceBureau, who helped him get in touchwith a solicitor to discuss his houseand children. We were alsoable to organise support or Mr Bradleyrom Age UK. Ater a period o intensive support,we continued to visit Mr Bradleyand help him set up longer-termsolutions. He now has a beriendingvolunteer, a counsellor, regularappointments with the diabeticnurse and better control o his healthand personal care. He also hasa better outlook on lie and eelshe has the support to cope withday-to-day lie and start regaininghis independence.
Our support allowedMr Bradley to startregaining hisindependence andrebuilding his condencewhile learning new waysto cope.
He said the support he receivedrom the British Red Cross gave himantastic emotional support at hislowest point and helped him tostart taking back control o his lie.
Providing practical and emotionalsupport to Mr Bradley saved thestate money in two ways:
We prevented Mr Bradley’sdepression worsening
Ongoing and worsening depressioncan increase the likelihood o asuicide attempt or a long recoveryperiod. It is likely that without oursupport Mr Bradley’s depressionwould have worsened, to the extenthe would have required some at-home medical assessment and care.It is likely Mr Bradley would haverequired a residential GP visit toassess his mental health, andwould have then needed supportrom social services home care. Aresidential GP visit costs, on average,£121 and home care support orservice users with mental healthproblems costs £162 per week
. It islikely that social care support wouldbe needed weekly or three months(13 weeks) at a cost o £2,227.
We prevented Mr Bradley’sdiabetes worsening and causingcomplications
Mr Bradley was not providing orhis own basic needs, which couldhave had very harmul eectsalongside his diabetic condition. The cost o treating diabetes andits associated complications issignicant, comprising around 5 percent o the total NHS budget
. Theannual cost o treating diabetes andcomplications is £2,944 per person.
Complications with the conditionaccount or around 35 per cent o this (or £1,035)
. It is possible thatwithout our intervention this wouldhave led to a hospital admission,including ambulance transer (£180
)and inpatient stay (£2,334
Overall, the support wedelivered to Mr Bradleyrepresents total avoidedcosts to the state obetween £3,262 and £5,776.Impact o our support
Outcome Prevented diabeticcomplication AssumptionCost o treatingdiabetic complication(35 per cent o totalcost) or one year
Outcome Prevented GP visitand home caresupport AssumptionOne GP visit andhome care supportor 13 weeks
Mr Bradley, 50, livesalone, suers romagoraphobia anddepression, and istype one diabetic.His relationship withhis long-term partnerrecently broke down,and he has had nocontact with her or histhree children since.He has no other amilyand only one closeriend in the area.
1. PSSRU (2011),
Unit costs of health and social care 2011
, The University o Kentpublications. £21 represents the cost o acommunity nurse, per visit (pages 106-108,taken rom: Community Care Packages orOlder People). We assume this is a low boundgure representing the act that Mr Bradley wasunable to cope with daily necessities himsel,e.g. ood preparation.2. Diabetes in the UK (2004), a report romDiabetes UK available at
www.diabetes.org.uk/Professionals/Publications-reports-and- resources/Reports-statistics-and-case-studies/ Reports/Diabetes_in_the_UK_2004/
3. Ibid.4. Ibid.5. National Audit Oce (2011),
Transforming the NHS ambulance services
: presentation to the Houseo Commons.
www.connectingforhealth.nhs.uk/ systemsandservices/pathways/news/fullreport. pdf
. The unit cost or ambulance services rangesrom £144 to £216, i.e. a mean unit cost or this is£180 per call.6. PSSRU (2011).
Avoided state costs
Projected savingsPotentialadditional savings
Outcome Prevented ambulancecall out andunnecessary hospitaladmission AssumptionOne ambulancetranser and inpatienthospital stay (averagelength)