2. Acute Care Interfaces

Female nurse leaning over a female patient with their hands touching.

Research Summary

Acute care is a branch of secondary health care where a patient receives active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery. In medical terms, care for acute health conditions is the opposite from chronic care, or longer term care.

The acute care pathway is under unprecedented strain, and hospital bed occupancy has reached dangerous levels. The Royal College of Physicians advocates better integration of hospital, ambulance, social and community care. Decisions to escalate care to acute settings are often part of a default approach to mitigate risk, but this problem can be better managed, as evidenced by the acute ambulatory care units developed by Prof Lasserson. Our aim is to use mixed-methods research to study how interfaces along the acute care pathway function in order to create a resilient acute care system.

This theme is closely aligned with the Acute Care theme of the NIHR Midlands Patient Safety Research Collaboration (PSRC).

Objectives

Short-term:
  • We will undertake observational studies at interfaces in the acute care pathway for adults and children, including health/social care interfaces. We will develop interventions to be delivered at acute care interfaces and then definitively test them through subsequent rigorous evaluative research.

Longer-term:

  • We will determine the changes in processes of care that result in an acute care system across health and social care that is resilient to surges in demand, and can be delivered sustainably as our population ages and becomes more complex through multi-morbidity.

Theme Lead

Professor Daniel Lasserson,

Daniel.Lasserson@warwick.ac.uk

University of Warwick

Updates

Impact: Changing Care Pathways with Hospital at Home

There is an increasing number of people in England who are acutely unwell, many of whom are older and living with frailty. However, the acute care pathways in our hospitals are at risk of becoming overwhelmed, reducing the function of elective activity. We therefore need to find ways to meet the needs of these people without admitting them to hospital.

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