Hospital at Home

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Hospital at Home

Image of the Hospital at Home logo with the words Hospital at Home in blue and a drawing image of a patient being cared for in bed in his home.Hospital at Home is a new model of care in the NHS that provides the acute level care and monitoring that patients expect in a hospital, delivered in the place they call home.

It brings together health professionals as a team and combines the latest health monitoring technology with the specialist knowledge and skills of staff. Through this new way of working, suitable patients will be able to stay at home and receive the same level of care as if they were on a hospital ward. We call it ‘the care of hospital, the comfort of home’.

We know patients who are supported through an acute illness recover more quickly in their own homes, with less chance of de-conditioning, falls and hospital-acquired infection; and more chance of staying connected to their communities and carers. It’s better for patients and helps reduce pressure on our hospitals.

What’s happening in Manchester and Trafford around Hospital at Home?

We are currently developing our service in Manchester and Trafford. This is through exciting collaboration between our community and hospital services in the Local Care Organisation and Manchester University NHS Foundation Trust, along with partners in social care and primary care (GPs). We’ve moved to a single, easy to refer to Hospital at Home offer for our patients.

Patients can be supported in several ways such as:

  • Taking our service to the patient’s home where health professionals, including hospital consultants, advanced clinical practitioners, nurses, therapists, GPs and other staff visit the patient at home to provide assessments and care
  • Providing telemedicine support such as remote vital sign monitoring
  • Social support; or a combination of these offers.

Like a normal hospital ward, patients remain under the care of Hospital at Home for a period (usually up to a maximum of 14 days). When their care is complete they are discharged back to the care of their GP or a community team.

As well as providing care at home, a lot of basic tests that patients need can be carried out in the home like blood tests and ECGs. Hospital at Home also has fast track processes if more complex tests or scans are required for a patient in the service. That’s where patients may attend a pre-booked outpatient appointment for specialist diagnostics, but they will then return home to continue their care rather than be admitted to a hospital bed.

Which patients/conditions can be supported by Hospital at Home?

Hospital at Home is initially focusing on supporting suitable patients in the frailty, respiratory and heart failure condition groups (these are the three national priority areas for Hospital at Home) as well as some other acute pathways. Patients are carefully triaged (assessed) for their suitability for the service by the team. Patient and family feedback on the service has been overwhelmingly positive.

When is Hospital at Home happening?

Recruitment has been taking place to expand the teams as growing the service is dependent on the workforce being in place to deliver the model.

We have grown our offer from Winter 2023 in Central Manchester (where we have been piloting the model for the last year) and North Manchester to begin with. These services are now live and open to referrals from primary care (GPs) and hospital teams.

South Manchester is following in the next few weeks (Dec 23/Jan 24) which will take us to around 50 Hospital at Home ‘beds’ in Manchester. Plans are also being developed for Trafford residents in 2024.

Service information for patients and professionals

Our service pages have more information on the live offers, the team of staff who provide the service and referral information for healthcare professionals.

Other useful links

  • Health Innovation Manchester Hospital at Home – Information on Hospital at Home with a focus on virtual wards and technology for use by teams across Greater Manchester. Includes useful resources for staff and patients.
  • Hospital at Home Society– The UK Hospital at Home Society is for all those with an interest in Hospital at Home, including NHS staff, patients, caregivers, policy makers and the academic community.
  • “Hospital at Home gave us back hope that better, healthier days are coming.”
    Hospital at Home Case Study

Published Dec 2023