As winter bites care homes are coming under increased pressure to support the NHS by providing a layer of intermediate care that will help reduce the burden on acute hospital services.
Traditionally however care home residents experience 40-50%1 more emergency admissions and Accident & Emergency (A&E) attendances than the general population aged 75 and over, so any increased role has to be supported by improved patient management.
Under pressure staff, cost pressures and poor connectivity with primary care all contribute to a lack of proactive symptom management. Simply monitoring residents’ blood pressure, weight and hydration levels with information being fed directly into GP systems will help maintain health and prevent escalation to more specialist services. It will also be vital to the creation of additional intermediate care capacity. Digital health specialist, Inhealthcare, believe their new vital signs monitoring service can reduce emergency admissions of care home residents by acting as an early warning system.
Their care home service includes measuring the residents’ weight, hydration, blood pressure, heart rate and SpO2.
Inhealthcare’s Simon Jones, “Care homes can play a central role in filling the intermediate care vacuum – but only if the staff have the correct knowledge and skills, services are connected to local primary care providers and care is proactive. Whilst many homes already monitor vital signs, few integrate information into the NHS – a central requirement if escalation to secondary care is to be avoided.”
Inhealthcare’s CEO Bryn Sage, “The NHS have called for a clear strategy to free up hospital beds for those in need; firstly, by preventing avoidable hospital admissions and secondly, by supporting timely hospital discharge. Our vital signs monitoring service can do this by bridging the gap between secondary and community care.”
Inhealthcare’s technology integrates patients’ data into GP systems, improving the coordination between care homes and the local NHS because results can be viewed by all departments. If readings fall outside of a patient’s normal range, the appropriate NHS team is alerted. This means changes in health are highlighted early on, reducing the likelihood of hospital admission. The service supports earlier hospital discharge because it gives clinicians the confidence that if the patient is discharged, their full needs will be being met with regular and close monitoring.
Inhealthcare’s new service builds on their proven success of digitising existing care pathways. The company have teamed up with NHS County Durham and Darlington Foundation Trust (CDDFT), one of the largest integrated acute and community services providers in England, in a joint partnership called Healthcall, which allows patients to self-test and self-manage their health from the comfort and convenience of their own home.
CDDFT adopted Inhealthcare technology to introduce an undernutrition monitoring service for elderly patients in 80 care homes. Ian Dove, the trust’s Business Development Manager says, “The NHS has known for a long time that care homes and the voluntary sector could expand out-of-hospital care delivery, if they could be more effectively integrated into local health and social care economies. The Inhealthcare platform provides the flexibility and interoperability we need to implement radically new models of care.”
The undernutrition service monitors weight fluctuations and the intake of oral nutritional supplements to quickly identify patients/residents in the north west of England who are losing weight in an unhealthy manner. In a study of 130 patients, over a 10 month period2, results show pharmaceutical savings of 30K, a reduction of 58 outpatient visits and 126 care home visits. The patient/resident data is stored in approved NHS datacentres which means Inhealthcare score 100% on the Department of Health’s Information Governance Toolkit (IGT) Level 3 meaning patient data is securely safeguarded.
For more information about Inhealthcare’s vital sign monitoring service for care homes, please contact Simon Jones on 01423 510520
1.Quality Watch. Focus on: Hospital admissions from Care Homes. January 2015. Accessed December 2015: http://www.health.org.uk/sites/default/files/QualityWatch_FocusOnHospitalAdmissionsFromCareHomes.pdf
- County Durham and Darlington Undernutrition Case Study October 2015