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Background Lancashire & South Cumbria ICB estimated that an end of life admission costs £6,095 per patient, with increased pressure on hospital beds, and patients being nursed in corridors.Aims The aim of the project was for the three hospices to work collaboratively across the Pennine Lancashire footprint by delivering five coordinated initiatives to reduce avoidable admissions to hospital. It was anticipated that the project could save over £3m.Method The project was implemented in April 2024 for 12 months with the three hospices identifying five workstreams which would support the ICB’s Urgent and Emergency Care Capacity Investment Scheme to reduce admissions. The workstreams included:Hospice integration with the Intermediate Care Allocation Team, Intensive Home Support Service, 2-hour Urgent Community Response and Discharge teams.Increase in nurse-led Hospice at Home capacity.‘Hospice in your care home’ including extensive education and training programmes for care home and domiciliary care agency staff.Inequalities and support for vulnerable people with outreach support provided to local charities supporting vulnerable and homeless individuals, for example, psychological support, simplified advance care planning document, training to volunteers, supporting individuals to access hospice services.Early intervention and advance care planning with dedicated awareness sessions of hospice services, end of life support and crisis prevention.Activity data was collected and submitted to the ICB on a monthly basis. Targets were set for each workstream with an estimated impact on admission avoidance.Results Preferred place of death (PPD) was achieved in 93% of patients who accessed hospice services.Estimation of 2,174 admissions avoided with a return on investment (ROI) of 23:1 meaning that for every £1 invested in the hospices, the NHS has saved around £23.83 in avoided hospital admission costs.Conclusions Data was not collected in the same way prior to this project and therefore baseline activity is likely to be lower than actual activity. The five workstreams integrated across the health and social care footprint to reduce avoidable hospital admissions.