Transforming Patient Care at Scale

How Frimley ICS, Part of the NHS in South England, is Delivering Proactive, Integrated Healthcare Through Remote Monitoring, Population Health and a Connected Digital Ecosystem.

In a time when many health systems are overwhelmed by rising demand, staff shortages, and strained hospital capacity, Frimley Health and Care Integrated Care System (ICS) in Southeast England offers a powerful counter-narrative. Frimley has reimagined care delivery through bold digital innovation and clinical leadership, moving decisively from reactive to proactive, patient-centered healthcare at scale.

Frimley Health experienced measurable improvement including:

  • A 53.7% drop in hospital admissions
  • 38.6% fewer ED attendances
  • £5–8 million projected annual savings
  • 10,000+ high-risk patients remotely supported

At the heart of this success is a connected digital ecosystem that brings together remote patient monitoring, population health analytics, and a shared care record. This system helps clinicians act faster and empowers patients to manage their health more independently, safely and confidently.

This case study captures how Frimley ICS is reshaping the future of integrated care with insights, pitfalls and practical lessons for health systems worldwide.

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