Thanks to everyone who responded to my request last week for examples of services that provide emergency care to older people in their own homes. Here is a combined list of ones suggested by the list and also others that I found online. It may not be comprehensive but could be a useful starting point for anyone else interested in this area.

 

There are quite a range of names / models given to these services – here are some of the key search terms I used – virtual ward, admission avoidance, hospital at home, (community) outreach, (community) liaison, rapid response, emergency care, acute care, urgent care, home health care, integrated geriatrics

 

 

Bhowmick Model – implemented in parts of Wales by  Professor Bim Bhowmick,  Now being trialled in Warrington

http://www.bevancommission.org/sitesplus/documents/1101/The%20Bhowmick%20Innovation%20Model%20230413%20v1a.pdf

 

NHS Lanarkshire

·         Age Specialist Services Emergency Team http://irissfm.iriss.org.uk/episode/102

·         Hospital at Homehttp://www.nhslanarkshire.org.uk/Services/hospital-at-home/Pages/default.aspx

 

Hospital at home services in Scotland – links to several different services

http://www.knowledge.scot.nhs.uk/chin/intermediate-care/hospital-at-home-services.aspx

includes tools, documents, presentations and other media

 

Kent Community Health NHS Foundation Trust-  Enhanced Rapid Response Service –

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/459193/Kent_Community_Health.pdf

 

Guys and St Thomas’s @Home

http://www.kingsfund.org.uk/sites/files/kf/media/Karen_Titchener.pdf

 

Cambridgeshire and Peterborough CCG – admission avoidance

http://www.cambridgeshireandpeterboroughccg.nhs.uk/CATCH/care-of-acutely-ill-in-the-community.htm

 

Croydon Acute Care of the Elderly Service

http://www.croydonhealthservices.nhs.uk/Default.aspx.LocID-01xnew0cr.RefLocID-01x00a.Lang-EN.htm

 

Southern Trust Acute Care at Home Team

http://www.kingsfund.org.uk/sites/files/kf/media/Patricia%20McCaffrey_Eamon%20Farrell_Southern%20Trust%20Acute%20Care%20at%20Home%20Team.pdf

 

NHS Improving quality case studies

http://www.nhsiq.nhs.uk/improvement-programmes/acute-care/seven-day-services/resources-and-case-studies/case-studies/older-people.aspx

 

Oxford Health NHS Foundation Trust

·          http://www.oxfordhealth.nhs.uk/?service_description=hospital-at-home

·          http://www.oxfordhealth.nhs.uk/service_description/emergency-multidisciplinary-unit/

 

Dartford and Gravesham NHS Trust

http://www.dvh.nhs.uk/our-services-specialists/a-to-z-of-services/medicine/hospital-at-home-team/

 

North London

http://www.theguardian.com/healthcare-network/2016/jan/15/emergency-response-service-hospital-care-older-peoples-homes

 

Whittington Health Integrated Community Ageing Team

http://www.whittington.nhs.uk/default.asp?c=17758

 

 

There are also models of Interface geriatrics –

 

 

Interface Geriatricians – Leeds

·         http://www.kingsfund.org.uk/sites/files/kf/media/leeds-interface-geriatrician-service-kingsfund-oct14.pdf

·         https://britishgeriatricssociety.wordpress.com/2013/10/28/a-new-kind-of-geriatrician-introducing-interface-geriatriatricians/

·         http://www.acutemedicine.org.uk/wp-content/uploads/2014/10/6-Elderly-Care-Liaison-at-the-Front-Door1.pdf

 

Interface Geriatrics – Leicester

·         www.nhsimas.nhs.uk/fileadmin/Files/ECIST...3/Workshop_3_-Presentation.ppt

https://nottingham.ac.uk/mcop/documents/papers/issue9-mcop-issn2044-4230.pdf

 

Community Geriatrician

http://www.jitscotland.org.uk/example-of-practice/community-geriatrician/

 

Acute frailty network

http://www.acutefrailtynetwork.org.uk/about-us

 

There are also examples of similar services that specialise in end of life care

Eg Lesley Spencer, Princess Alice Hospice who published Hospice to home: a patient-centric multiprofessional community approach,  International Journal of Palliative Nursing . May2015, Vol. 21 Issue 5, p245-250. 6p.

 

 

Sarah Lewis   BA, MA, MCLIP
Clinical Outreach Librarian
Integrated Medicine, Integrated Elderly and Community Care & Specialist Services
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