Ann McCann, Patricia McCaffrey, Gail Nicholson, Eamon Farrell
Southern Trust Health and Social Care Board, Northern Ireland, Armagh, UK
Background: The population is ageing. Acute Care at Home (AC@H) is a Consultant
led multidisciplinary team, providing Comprehensive Geriatric Assessment and acute
non-critical care to our older population, preventing hospital admissions and promoting a
better quality of life for our older population, supporting them to live independently for
Methods: Quantitative, a retrospective analysis of length of stays, admissions avoided,
discharges facilitated, acute bed days saved and changes to care requirements.
Results: From 01/04/2016 to 31/03/2017 Average length of stay was 4.9 days compared
to 6.8 days in hospital, 719 admissions were avoided, 148 early discharges were
facilitated, 5,896 estimated acute bed days saved. 79% of patients did not need changes
to their existing care requirements, 4% required a new or increase to their existing
Conclusions: The Acute Care at Home model is successfully treating older people at
home reducing the burden on the Emergency Department and Acute services in hospital.
It also maximises independence, improves quality of life, and decreases the dependency
for on-going social support for our older population.