Virtual Ward / Hospital at Home Tuesday 19th July

Transcript:Virtual Ward / Hospital at Home Tuesday 19th July:
Virtual Ward / Hospital at Home Tuesday 19th July 2022 Purpose National & local context Development in each Health and Care Partnership Role of primary care National Ambition Successful implementation will require ICS to: Maximise their overall bed capacity to include Virtual Ward/Hospital at Home (VW/HatH) Prevent VW/HatH from becoming a new community based ‘safety netting’ service. The should only be used for patients who would otherwise be admitted to an NHS acute hospital bed or to facilitate early discharge Maintain the most efficient, safe staffing and caseload model Manage length of stay by establishing clear criteria to admit and reside for services Fully exploit remote monitoring technology and wider digital platforms to deliver effective and efficient care Definition of Virtual wards / Hospital at Home National Ambition ICSs have to develop comprehensive, multi-year plans and deliver VW/HatH capacity equivalent to 40-50 virtual ward ‘beds’ per 100k population To support implementation systems will have access to £200m for 2022/23 (£4.8M HWE) and £250m for 2023/24 23/24 funding release dependent on achieving target ‘bed’ number by December 2022. ENH December 2022: 107 patients* December 2023: 205 – 254 patients* WE SWH December 2022: 75 patients* December 2022: 167 patients* December 2023: 120 patients* December 2023: 228 patients* Place based Delivery Model Supports admission avoidance and early supported discharge Greatest system impact from admission avoidance Services being developed in line with national pathways, building on local experience and need: Respiratory (including Covid) Frailty Heart Failure Pre and post operative care Capabilities – i.e. personalised care based on patient need including oxygen sats, blood pressure, temperature, pulse rate, weight monitoring, IV antibiotics, blood tests etc What is the role of primary care? Referring patients who might otherwise expect patient to be taken to hospital to your local service Work in partnership with your local service as it develops – (clinical responsibility whilst on VW/HatH is with the service) More local detail in the place target events or via local clinical leads: East & North Herts – Elizabeth Kendrick (elizabeth.kendrick@nhs.net) West Essex – Jon Keene (jonkeene@nhs.net) S&W Herts – Niall Keenan (niall.keenan@nhs.net) Patient Story Juliet is a patient who lives alone in her own home. She is 30yrs old and is paraplegic. She has been supported by Community services for many years and has had multiple admissions into the Acute Hospital for treatment of a Grade 4 Pressure Ulcer as well as a number