Our pilot re-admission avoidance service goes live today and will be providing home visits for patients who become unwell following discharge from hospital.
The aim is to test if primary care intervention can help discharge patients earlier or/and keep them at home and avoid re-admission if they have subsequent complications.
The service will be running for 9 weeks and will provide:
- Home visits to support urgent primary care discharge needs e.g. home blood tests within a week or social mental health support to connect them into voluntary sector organisations which can help them.
- GP remote assessment, paramedic home visits, or blood tests for patients when there is an exacerbation of the original admission condition/symptoms within 30 days of discharge.
GP practices will be able to book visits for patients who have been discharged from hospital in the past 30 days and require an urgent response to prevent re-admission.