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This trial showed the intervention had no difference in living at home at 6 months compared with admission to hospital, while costs were lower across NHS and personal and social services.

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Sasha Shepperd 1,*, Andrea Cradduck-Bamford 1, Christopher Butler 2, Graham Ellis 3, Mary Godfrey 4,, Alastair Gray 1, Anthony Hemsley 5, Pradeep Khanna 6, Peter Langhorne 7, Petra Mäkelä 8, Sam Mort 2, Scott Ramsay 9, Rebekah Schiff 10, Surya Singh 1, Susan Smith 2, David J Stott 7, Apostolos Tsiachristas 1, Angela Wilkinson 11, Ly-Mee Yu 2, John Young 12

1 Nuffield Department of Population Health, University of Oxford, Oxford, UK
2 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
3 School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
4 Leeds Institute of Health Sciences, Academic Unit of Ageing and Stroke Research, Leeds, UK
5 Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
6 Aneurin Bevan University Health Board, Newport, UK
7 Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
8 Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
9 Department of Medicine for the Elderly, St John’s Hospital, Livingston, UK
10 Guy’s and St Thomas’ NHS Foundation Trust, London, UK
11 Medicine for the Elderly Department, Victoria Hospital, Kirkcaldy, UK
12 Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Leeds, UK
* Corresponding author Email: sasha.shepperd@ndph.ox.ac.uk

In memoriam

In memoriam

Declared competing interests of authors: Sasha Shepperd reports membership of the National Institute for Health Research (NIHR) Health and Social Care Delivery Research programme Commissioned Prioritisation Committee (2015–18) during the conduct of this randomised trial and grants from the NIHR and the Medical Research Council. Chris Butler reports receiving grant funding from the NIHR as a NIHR Senior Investigator and grants from the NIHR Health Protection Research Unit on Health Care Associated Infections and Antimicrobial Resistance and the NIHR in his role as Director of the NIHR MedTech and In Vitro Diagnostics Cooperative for innovative diagnostic and monitoring technology to enhance Community Healthcare. He also held grants from the NIHR Health Technology Assessment programme (reference 12/33/12) as well as other publicly funded grant giving bodies. He was also a member of the Efficacy and Mechanisms Evaluation Board from 2011 to 2016. He also reports personal fees from Roche Molecular Systems, grants and personal fees from Roche Molecular Diagnostics (Pleasanton, CA, USA), personal fees from Pfizer Inc. (Pfizer Inc., New York, NY, USA), and grants and personal fees from Janssen Pharmaceutical (Beerse, Belgium) outside the submitted work. Graham Ellis reports grants from NIHR during the conduct of the study. In addition, he is employed part time as a clinical advisor on ageing and health to NHS Scotland’s (Edinburgh, UK) Chief Medical Officer and has advised the Scottish Cabinet Secretary for Health and Sport regarding implementation of Hospital at Home in Scotland. Alastair Gray reports grants from NIHR during the conduct of the study. Peter Langhorne reports that he was on the Health Technology Assessment CET Committee and Health Technology Assessment End of Life Care Add on Studies Committee until 2019. David J Stott reports grants from NIHR during the conduct of the study. Ly-Mee Yu was a panel member of the NIHR Health Technology Assessment Efficient Study Designs Committee and NIHR Research for Patient Benefit (2013–18), during the conduct of this research.

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