NHS expands hospital at home service after successfully treating more than 6,400 children
Tens of thousands of children will be able to receive hospital-level care at home thanks to an expansion of virtual wards, NHS Chief Executive Amanda Pritchard has announced.
The hospital at home service is already the largest of its kind in the world and will expand to cover children in every region of England from this month after successfully treating more than 6,400 children over the last year.
On the 75th anniversary of the NHS, Amanda Pritchard said the world-leading NHS virtual wards programme has “provided peace of mind” to parents who have used them during trials, including in Blackpool, Dudley and Dorset.
In Blackpool, almost 200 children have been treated on a paediatric virtual ward. Patients that, for example, have been prescribed antibiotics that would have historically required a hospital stay can be discharged home with daily calls from NHS staff and in some cases, home visits.
Parents are also able to record observations as many times as they want throughout the day, entering the details onto the virtual ward pad.
The services will treat a range of conditions like respiratory illness, such as asthma, and heart conditions, allowing kids to get the care they need from the comfort of their homes.
Virtual wards allow patients to get hospital-level care at home safely and in familiar surroundings, helping speed up their recovery while freeing up hospital beds for patients that need them most and reducing the burden of travel for families.
It comes as more than 160,000 adult patients have been successfully treated on virtual wards including hospital-at-home services since April last year, with 16,000 patients treated in January alone, according to a report by NHS England.
Health and Social Care Secretary Steve Barclay said: “Virtual wards are an important part of our plan to improve access to NHS urgent and emergency care services, and now they will be expanded to tens of thousands of children across the country.
“That will allow them to be treated from the comfort of their own home, freeing up hospital beds and cutting waiting times, which is one of the government’s five priorities.
“As we celebrate the achievements of the NHS over the last 75 years and look ahead to the future, my priority is that we continue to invest in the latest technology and innovations to deliver the best care for patients.”
As it marks 75 years since its foundation this month, the NHS continues to show it is a world-leader when it comes to cutting-edge innovation and using the latest technology to treat patients.
The rollout to children and young people will come as part of the NHS plan to create an extra 10,000 virtual ward beds by winter, meaning more patients can be treated safely from home, also relieving pressure on hospital beds.
In 1948, healthcare in England was revolutionised with the introduction of the National Health Service, free at the point of delivery, and with district nurses and midwives going from door to door to provide care in their heart of their communities and their patients’ homes.
Today, the NHS is in the midst of another revolution, embracing advances in technology and innovation with virtual wards, providing around the clock, quality care to patients in their own homes, where patients would rather be.
Amanda Pritchard, NHS Chief Executive, said: “Virtual wards are already providing excellent care to families when their children are sick, and this expansion will enable thousands more to receive high quality care from home.
“Being treated at home can have a hugely positive impact on patients – it means they receive hospital-level care, but it also means they are not separated from their families – providing peace of mind for loved ones.
“As we look to the next 75 years of the NHS, we will continue to embrace the latest technologies and innovations to meet the changing needs of patients while ensuring that care is as convenient as possible.”
NHS National Clinical Director for Children and Young People Professor Simon Kenny said: “The introduction of paediatric virtual wards means children can receive clinical care from home, surrounded by family and an environment they and their parents would rather they be – with nurses and doctors just a call away.
“More than 6,400 children have already been treated on a virtual ward, which also means they spend less time in hospital and that paediatric beds are there for the children that need them most, when they need them.”
The success of virtual wards in treating adults at home and in particular those who are elderly or frail has been clear. People recover much quicker at home and in familiar surroundings where they would prefer to be.
As well as expanding the use of hospital at home or virtual wards to children, the NHS is committed to expanding their use to adult patients with heart or lung conditions.
People on a virtual ward are cared for by a multi-skilled team who can provide a range of tests and treatments, including blood tests, prescribing medication or administering fluids through an intravenous drip.
Patients are reviewed daily by the clinical team and the ‘ward round’ may involve a home visit or take place through video technology. Many virtual wards use technology like apps, wearables and other medical devices enabling clinical staff to easily check in and monitor their recovery.
NHS England’s Urgent and Emergency Care Recovery Plan set out guidance to support systems implement new models of virtual wards, in more clinical areas including heart failure and paediatrics, with the guidelines to be put in place to allow systems to scale up ahead of winter.
