Local Government Association

We are the national voice of local government, working with councils to support, promote and improve

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HICM: Case studies

These case studies show how local systems are putting the High Impact Change Model into practice to improve intermediate care, strengthen partnership working and support people to recover, regain independence and return home safely.

High Impact Change Model: Optimal Handed Care

The High Impact Change Model (HICM) for Optimal Handed Care (OHC) provides a practical framework to embed OHC in different care settings across health and care systems. It aims to ensure that every person receives safe, proportionate, and independence-focused care and support, while reducing workforce strain and maximising system efficiency.