@Home

The @Home Service provides a range of services to support you in your own home. This service enables you by either preventing unnecessary admission to hospital, or by helping you return home sooner with extra support between 8am and 8pm.

Find out more about @Home

Overview

The @home service provides a range of services to support you in your own home. This service enables you by either preventing unnecessary admission to hospital, or by helping you return home sooner with extra support between 8am and 8pm.

What the service does:

Close patient monitoring, with short-term intervention in a serious episode of ill health.

Urgent clinical assessment for very unwell patients.

Initial treatment and on-going monitoring of a patient.

Care 365 days of the year, 8am to 8pm, with access to overnight help.

Two-hour response time for urgent medical assessment where required.

Provide patients with daily visits, where necessary.

Home visits by an @home GP or Advanced Clinical Practitioner when required.

For Patients

Tel: 020 8315 8722

If you become unwell whilst under the @home team’s care, please call us on 020 8315 8722 between 8am and 8pm. We will assess you and make sure that you are getting the right care at home, or in hospital if necessary. If you become unwell outside of these hours, please contact 111 (or 999 if you have an urgent medical need).

 

How do I get referred?

You must be registered with a Bromley GP practice and live in Bromley or within close proximity to the boundary. Your GP will refer you to the service.

Once you are referred, a member of the team will visit you at home to carry out an assessment and discuss the care that you need. If you are still in hospital, the team will visit you on the ward. A clinical coordinator will be assigned to your care. They will be responsible for making sure that you receive the right care from the right person and at the right time.

Upon discharge we will contact your GP to explain that you have been cared for by the @home team. However they will receive regular updates about your care, including any changes to medicines that you are taking.

 

Why have I been referred?

You have been referred to the @home team because:

we can help you stay as well as possible in your home, so that you can avoid having to go into hospital unnecessarily

OR

you have just had a medical procedure in hospital but need further nursing care or therapy, which can be best provided by the @home team in the comfort of your own home.

Referrals

How to Refer:

Referrals can only be made by healthcare professionals involved in the patient’s care.

Referrals accepted: 8am – 6pm, Monday – Friday, 10am-2pm Sat & Sun
Opening hours: 8am – 8pm, Monday – Sunday

To make a referral, please call 020 8315 8722

 

Our admin team will take your patient’s demographic details and pass you on to a clinician to discuss the case with you. The clinician will require some clinical information and may also need you to email supporting information to the team.

If you need to email our team please use: bromh.cccpod3refs@nhs.net

The patient should be of such acuity that if the patient is not seen by this service then they will be admitted to hospital. The scope for patients within the service will include:

Acute episode of illness

Acute exacerbation of chronic condition

Medically Stable (NEWS score of 4 or less)

Up to 7 days stay within the service

Higher intensity of care

 

Some patients may be suitable even though they do not exactly match the above criteria. If you think the patient could be supported within the team then please call us and speak to the triaging clinician.

  

Referral Criteria

Without @home input, the patient would otherwise need hospital admission.

Patient must be 18 years of age or over.

Patient must be able to transfer with maximum of assistance of one person or less (assistance of two people will be considered on a case-by-case basis).

Patient must be registered with a Bromley GP and live in Bromley or within close proximity of the boundary.

Patient must currently be at home in the community (including care home residents) or have been in hospital for no longer than 24 hours

Patient must be home by 6pm for same day review.

Referrals from bedded units must hold the patients bed until they have been assessed.

 

Exclusion Criteria

Referrals that can be effectively managed by standard social or health care services within the timeframe required

have unresolved alcohol or substance misuse issues

have acute/severe mental health problems

Must be medically stable:

 

Criteria for Stability

1/ Blood Pressure that is greater than 100/60.

2/ A pulse greater than 50 or less than 120.

3/ A safe swallow.

4/ No Clouding of consciousness or delirium.

5/ No Sudden onset of loss of use of a limb.

6/ No persistent nausea or uncontrolled Diarrhoea such that the patient is at risk of dehydration without 24hr care support.

7/ The patient is not in need of surgical intervention

8/ The patient is not in need of treatment that cannot be taken orally i.e. intravenous fluids, intravenous antibiotics or intravenous antibiotics that require regular monitoring. From phase 3 IV patients will be accepted.

9/ The patient is not in need of intervention Radiology.

 Some patients may be suitable even though they do not exactly match the above criteria. If you think the patient could be supported within the team then please call us and speak to the triaging clinician.

Overview

The @home service provides a range of services to support you in your own home. This service enables you by either preventing unnecessary admission to hospital, or by helping you return home sooner with extra support between 8am and 8pm.

What the service does:

Close patient monitoring, with short-term intervention in a serious episode of ill health.

Urgent clinical assessment for very unwell patients.

Initial treatment and on-going monitoring of a patient.

Care 365 days of the year, 8am to 8pm, with access to overnight help.

Two-hour response time for urgent medical assessment where required.

Provide patients with daily visits, where necessary.

Home visits by an @home GP or Advanced Clinical Practitioner when required.

For Patients

Tel: 020 8315 8722

If you become unwell whilst under the @home team’s care, please call us on 020 8315 8722 between 8am and 8pm. We will assess you and make sure that you are getting the right care at home, or in hospital if necessary. If you become unwell outside of these hours, please contact 111 (or 999 if you have an urgent medical need).

 

How do I get referred?

You must be registered with a Bromley GP practice and live in Bromley or within close proximity to the boundary. Your GP will refer you to the service.

Once you are referred, a member of the team will visit you at home to carry out an assessment and discuss the care that you need. If you are still in hospital, the team will visit you on the ward. A clinical coordinator will be assigned to your care. They will be responsible for making sure that you receive the right care from the right person and at the right time.

Upon discharge we will contact your GP to explain that you have been cared for by the @home team. However they will receive regular updates about your care, including any changes to medicines that you are taking.

 

Why have I been referred?

You have been referred to the @home team because:

we can help you stay as well as possible in your home, so that you can avoid having to go into hospital unnecessarily

OR

you have just had a medical procedure in hospital but need further nursing care or therapy, which can be best provided by the @home team in the comfort of your own home.

Referrals

How to Refer:

Referrals can only be made by healthcare professionals involved in the patient’s care.

Referrals accepted: 8am – 6pm, Monday – Friday, 10am-2pm Sat & Sun
Opening hours: 8am – 8pm, Monday – Sunday

To make a referral, please call 020 8315 8722

 

Our admin team will take your patient’s demographic details and pass you on to a clinician to discuss the case with you. The clinician will require some clinical information and may also need you to email supporting information to the team.

If you need to email our team please use: bromh.cccpod3refs@nhs.net

The patient should be of such acuity that if the patient is not seen by this service then they will be admitted to hospital. The scope for patients within the service will include:

Acute episode of illness

Acute exacerbation of chronic condition

Medically Stable (NEWS score of 4 or less)

Up to 7 days stay within the service

Higher intensity of care

 

Some patients may be suitable even though they do not exactly match the above criteria. If you think the patient could be supported within the team then please call us and speak to the triaging clinician.

  

Referral Criteria

Without @home input, the patient would otherwise need hospital admission.

Patient must be 18 years of age or over.

Patient must be able to transfer with maximum of assistance of one person or less (assistance of two people will be considered on a case-by-case basis).

Patient must be registered with a Bromley GP and live in Bromley or within close proximity of the boundary.

Patient must currently be at home in the community (including care home residents) or have been in hospital for no longer than 24 hours

Patient must be home by 6pm for same day review.

Referrals from bedded units must hold the patients bed until they have been assessed.

 

Exclusion Criteria

Referrals that can be effectively managed by standard social or health care services within the timeframe required

have unresolved alcohol or substance misuse issues

have acute/severe mental health problems

Must be medically stable:

 

Criteria for Stability

1/ Blood Pressure that is greater than 100/60.

2/ A pulse greater than 50 or less than 120.

3/ A safe swallow.

4/ No Clouding of consciousness or delirium.

5/ No Sudden onset of loss of use of a limb.

6/ No persistent nausea or uncontrolled Diarrhoea such that the patient is at risk of dehydration without 24hr care support.

7/ The patient is not in need of surgical intervention

8/ The patient is not in need of treatment that cannot be taken orally i.e. intravenous fluids, intravenous antibiotics or intravenous antibiotics that require regular monitoring. From phase 3 IV patients will be accepted.

9/ The patient is not in need of intervention Radiology.

 Some patients may be suitable even though they do not exactly match the above criteria. If you think the patient could be supported within the team then please call us and speak to the triaging clinician.

Helen Pooley

Service Lead

@Home Team

Select Option 1

020 8315 8722

bromh.cccpod3@nhs.net