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Updated: May 31, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
Measuring and modelling occupancy time in NHS continuing healthcare.
Salma Chahed1, Eren Demir, Thierry J Chaussalet
1Department of Information Systems and Computing, University of Westminster, 115 New Cavendish Street, London W1W 6UW, UK.
NHS continuing healthcare systems can now better forecast patient numbers and budget for care. A length of stay model accurately predicts how long patients remain in care, aiding resource allocation.
Area of Science:
- Health Services Research
- Health Economics
- Public Health
Background:
- Increasing demand and financial constraints challenge NHS continuing healthcare systems.
- Accurate forecasting of patient demand and budgeting for care are critical.
- Understanding patient length of stay is key to service planning.
Purpose of the Study:
- To investigate patient length of stay in NHS continuing healthcare.
- To develop a predictive model for patient numbers in care.
- To support budgeting and resource allocation for healthcare services.
Main Methods:
- Analysis of anonymised data for 11,289 patients in placement and home care (2005-2008).
- Application of length of stay (LoS) modelling to estimate patient retention probabilities.
- Forecasting of future patient numbers based on estimated probabilities.
Main Results:
- Identified three patient categories based on length of stay: short-term, medium-term, and long-term.
- Observed variations in discharge and transition rates across care types and groups.
- Demonstrated a close agreement between observed and predicted patient numbers, indicating a robust model.
Conclusions:
- The developed LoS model effectively supports Primary Care Trusts in London for budget planning.
- The model enhances responsiveness to increasing demand within resource limitations.
- Potential applicability extends to hospital care and re-ablement services, with further refinement planned.
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