Seeing patients at home could save the NHS millions

Experts and campaigners say treating more people with dementia in virtual 'hospital at home' wards can prevent deterioration linked to hospital stays and may save the NHS millions; reporting states discharge delays for dementia patients cost the NHS £328 million and used half a million bed‑days last year.

Health experts and charity groups are calling for wider use of virtual 'hospital at home' services for people living with dementia. They say hospital stays can worsen cognitive decline and increase mental health issues and fall risk for some patients. In a home-based model, clinicians can provide blood tests, prescribe medicines and give fluids while the patient remains at home. Campaigning and reporting have highlighted financial and capacity pressures linked to delayed discharges for people with dementia. What is known: - Virtual wards (hospital at home) offer hospital-level care in the community, including tests, prescriptions and fluid administration. - Research and clinicians report that hospital stays for people with dementia can be distressing and are associated with worsening cognition, poorer mental health and higher risk of falls. - The Daily Mail reported that delays discharging dementia patients cost the NHS £328 million and used half a million bed‑days last year. - The Alzheimer's Society promotes a symptoms checker and has partnered on the Defeating Dementia campaign to raise awareness, increase diagnosis and improve care. - Professor Nathan Davies of Queen Mary University of London said a standard approach across the NHS is needed where virtual wards are appropriate. Summary: Shifting appropriate dementia care into virtual wards could reduce hospital-related deterioration for some patients and ease pressure on hospital beds. Campaigners and researchers are calling for a consistent NHS approach to expand these services where they are suitable. Undetermined at this time.