Nurse-led coordinated care reduces hospital admittance/attendance by 10 per cent

Care homes in Shropshire were able to reduce A&E attendances and hospital admissions by 10 per cent and improve trust between care home and health service staff due to the creation of nurse-led care home coordination centre (CHCC).

Developed by an Advanced Nurse Practitioner at North Staffordshire Combined Healthcare NHS Trust, the CHCC appointed a Band 7 advanced nurse practitioner (ANP) from older person’s mental health services with experience of working in care homes to lead the project. A team of nurses prioritised the homes with the highest hospital attendance and admittance to offer the following services:

  • Provide a direct telephone referral route
  • A daily supportive call
  • Introduce a robust triage process
  • Service publicity in care homes
  • Collaborative working with the homes’ GPs
  • Updated care home resource pack
  • Skype for remote face to face consultations
  • Co-ordinated GP visits to the care homes
  • GP support for good end of life care
  • Support from a care home pharmacist to initiate homely remedy policies and training for their residents

Quality Watch (2015) estimates that care home residents have 40-50 per cent more attendances at A&E and non-elective admissions to hospital than the general population aged 75 and over.




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