Two people sitting on a rocky cliff overlooking the ocean.
Close-up of two pairs of hands clasped together, showing a sense of comfort and support.

Evidence and Outcomes

The Problem

Exposing the Blind Spot: A Real-Time Clinical Audit Benchmarking Emergency Care Plans in Vulnerable Patients Against an Expert-Informed Model - Click the title for the full PDF: Published 09/06/2025

Key Audit Findings:

A live clinical audit was conducted over six urgent care shifts, totalling 72 clinical hours across >30 GP practices and >25 care homes:

  • 96% = Not useful for clinical practice

    • 68 out of 71 had no emergency plan, a vague plan, or blanket statement

    • 0% of patients had a robust expert-led plan similar to My Emergency Plan

  • Dementia Subgroup of 38 patients:

    • 84% of plans raised legal and ethical concerns

    • 34% of patients (13 out of 38) had no emergency plan/no voice in their care

The Solution

Before the Next Crisis: A New, Scalable, Expert-Led Solution Shown to Reduce Emergency Admissions by Over 70% - Click the title for the full PDF: Published 09/06/2025

Foreword:

“Dr. Matthew Gloudeman has taken a personally developed approach empowered by rigor and respect for the importance of the process of ACP… He is to be commended for not giving into the pervasive cynicism… and his absolute conviction and vision to make this vital aspect of modern health care better… For all our sakes let us hope he is onto something.”
— Professor Max Watson, MBE, Palliative Care Consultant

Key Audit Findings:

  • 100% Trusted by families, staff & clinicians personalised, specialist-guided plans

  • 100% Dignified End-of-Life Care – Every patient who passed away, died in a familiar place or the hospice

    • 44% of patients in this group often die in the hospital

  • Over 70% reduction in hospital admissions aligned with patient and family wishes

A yellow and green emergency ambulance moving quickly on a city street.
Hospital bed with white pillow and blue blanket, medical supplies on a tray in the background.

The need for clearer emergency care planning is growing. More people are living longer with complex conditions, and hospitals are carrying much of the pressure near the end of life.

Published evidence on a growing national pressure

Growing ageing population

  • 12.7 million people in the UK were aged 65 or over in 2022
    That was around 19% of the population.

  • By 2027, this is projected to rise to 22.1 million people, or 27% of the population.

    Citation: House of Commons Library / ONS population projections

Hospital pressure near the end of life

  • 30.5 million hospital days followed emergency admissions

  • 31% of these bed-days, around 9.5 million, involved people in their last year of life.

    Citation: Pring et al., BMJ Supportive & Palliative Care, 2024

Acute hospital cost burden

  • £18,913 average acute hospital cost per person in the last year of life often not aligned to their wishes

    Citation: King’s College London / NIHR evidence briefing

1 in 3 acute inpatients may be in their last year of life

  • 28.8% of adult acute hospital inpatients died within 12 months

    Citation: Clark et al., Palliative Medicine, 2014

Emergency care planning is not a niche issue. It is a growing population-health challenge.

My Emergency Plan® is designed for this gap: specialist-led planning before the emergency, so frail and vulnerable people, families, care homes and NHS teams have clearer decisions before crisis strikes.