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Home | Articles | Referral | Hospital at Home (H@H)

Hospital at Home (H@H)

Last updated 27th November 2024

What is Frailty H@H?

  1. The purpose of the service is to reduce hospital admissions and length of stays for elderly patients by providing acute treatment in the comfort and familiarity of their own home.
  2. The service enables people to receive hospital level care that would otherwise require them to be admitted to hospital, such as an intravenous drip or oxygen supply.
  3. It also provides access to hospital tests under the care of a consultant in their own home.

Who is eleigible for H@H?

Frail patients ages 75 and over or 65 and in a care home, who are independent or already have an appropriate care package in place and do not need an increase in their care package or PT/OT input. Do you have a patient within this criteria in your ward that needs IV ABX or short term O2? (Max 2L on constant flow or 6L pulse flow).

What conditions can H@H offer to support with?

  1. Delirium and falls due to acute medical illness
  2. Infections (urine, chest, skin, D&V etc.)
  3. Acute exacerbation COPD
  4. Acute exacerbation CCF
  5. Acute kidney infection or hyponatraemia

What assessments/treatments can the service offer?

  1. Comprehensive geriatric assessment
  2. IV antibiotics (up to twice daily)
  3. IV furosemide (up to twice daily)
  4. Daily blood monitoring
  5. · Medication reviews
  6. Delirium management
  7. Short term O2 requirement (max 2L on constant, 6L on pulse)
  8. Rapid access to radiological tests e.g. CT, ultrasound, and plain film.

How are patients referred to the service?

  1. If you think your patient would benefit from H@H and meets the criteria for the service please phone the H@H Coordinator who will fill out the patient referral form.
  2. Please make sure the patient has been seen by yourself or another member of your team before referring.

Contact Details

  1. Any referrals, questions or quires please contact the H@H coordinator by Telephone- 07483169629 or by email – [email protected]

When does the service operate?

  1. The service operates from 8.30am-4.30pm, Monday- Friday.

Content by Rachel McLarty