Hospital at Home
Hospital at Home (H@H) is a short-term, targeted intervention that provides a level of acute hospital care in an individual’s own home that is equivalent to that provided within a hospital. The ihub has established a programme to support the implementation of H@H, including work with a mixture of NHS boards and Health and Social Care Partnerships. A total of 20 HSCP areas are supported:
- Aberdeen City
- Clackmannanshire & Stirling
- Dundee City
- East Ayrshire
- East Lothian
- Glasgow City
- North Ayrshire
- North Lanarkshire
- Perth & Kinross
- South Ayrshire
- South Lanarkshire
- Western Isles
- West Lothian
The programme includes a system to share learning and good practice, building on the experience of the established services in NHS Lanarkshire, NHS Fife and NHS Lothian. A wide range of resources can be found in the Hospital at Home Toolkit.
If you would like to contact the team to find out more or to express an interest in developing a H@H service, please email: firstname.lastname@example.org.
Guiding principles for service development
Published January 2020
This publication brings together and reviews the published evidence on the effectiveness and safety of hospital at home initiatives for older people with frailty and shared learning from existing services across Scotland. It is intended to assist in local and regional planning for acute and specialist services to support people, who would ordinarily require admission to acute hospital, to receive treatment at their home.
- Hospital at Home has been in existence in a number of countries across the world for 25 years. The first hospital at home service was introduced in Scotland in 2011.
- Older people with frailty are at particular risk of being affected by institutionalisation and delirium. Some 30 to 56% have been shown to experience a reduction in their functional ability between admission to hospital and discharge.
- Hospital at Home is a short-term, targeted intervention that provides a level of acute hospital care in an individual’s own home that is equivalent to that provided within a hospital.
- Hospital at Home works best when it is part of an integrated acute and community-based service model to meet local population need.
- Creating the environment to support Integration Authorities, NHS Boards and Local Authorities to effect transformation and introduce services such as hospital at home will require close collaboration and robust strategic planning and commissioning across sectors.
The first Scottish Hospital at Home learning event took place at Edinburgh Royal Infirmary on 18th February 2020. You can read a summary of the Hospital at Home learning event and access resources from the event.