Preventive services focused on reducing the number of avoidable admissions to hospital and residential care would optimise hospital flow and discharge this winter, adult social care directors have said. Improving care at home, providing more sheltered, extra care and dementia-focused housing, investment in crisis resolution intermediate care, and better information and advice for older and disabled people would prevent many from needing hospital or residential care, reducing pressures across health and social care every winter, says the report for the County Councils Network.