Immedicare is One Service, With Seven Care Elements

Immedicare’s Seven Care Elements support the delivery of the Enhanced Health in Care Homes Framework in neighbourhoods, places and systems

Contact Us

See Our Care Elements

Core Service

24/7 access to NHS nurse-led clinical support delivered from the Digital Care Hub using secure video consultations.

Digital Pharmacy

Experienced Lead Pharmacist/Consultant Pharmacist leading on prescribing, deprescribing, mentoring/training, medicines safety and research.

Falls Service

24/7 clinical assessment support for all residents who fall to reduce attendance at ED and acute admissions.

Training Programme

Developing the Local Care Home Workforce: Restore2 / Falls Prevention / Nutrition Hydration / Tissue Viability / End of Life Care

Enhanced End of Life Care

Enabling residents in their last days of life to receive high quality, evidence based, end of life care in the place of their choosing.

Nutrition and Hydration

Assessment of the resident’s nutrition and hydration needs to support the delivery of excellent care by the care home team.

Tissue Viability

Assessment of the resident’s skin and pressure areas to support the planning and delivery of excellent care by the care home team.

Core Service

The Immedicare Joint Venture has been in place since April 2013, a collaboration between Airedale NHS Foundation Trust and Involve VC. The Immedicare service supports care homes 365 days a year providing 24/7 access to virtual clinical assessment, virtual clinical supervision and safe supportive care delivered from our dedicated Digital Care Hub.

The NHS clinical assessor in the Digital Care Hub carries out the remote consultation utilising our secure video technology and the local electronic patient record to determine whether a GP visit is required, a hospital admission is needed, or whether the case can be dealt with by the Digital Care Hub remotely, or the community team locally. The Immedicare service is incredibly effective at reducing pressure on local NHS services, with data showing that over 90% of residents are able to remain in the care home setting following contact with the Digital Care Hub, and more than 60% do not require a local referral.

Care home staff are encouraged to default all calls to the Digital Care Hub for triage, freeing up GP practice staff, community response teams and social care staff for work that requires hands on or face to face interactions.

1352

care homes

supported

by our core service offering

Key Service Features

  • We offer care homes 24/7 access to NHS clinical support delivered directly from our Digital Care Hub using highly secure video conferencing technology.
  • Our Digital Care Hub has full SystmOne <> EMIS interoperability and our clinicians can view the resident’s local GP record during consultations.
  • We co-develop a comprehensive local directory of services to support the operation of the service in your area.
  • Care homes will be provided with HD video technology devices and network connectivity / system access.
  • Our national team of relationship managers will provide day to day support for all care homes.
  • We provide full data analytics and monthly reporting to track progress and evidence local impact.
  • We provide 24/7 technical support.
healthcare complaints

Digital Pharmacy

A Consultant Pharmacist is based in the Digital Care Hub as part of our multi-disciplinary team to support with Directed Enhanced Service requirements and is available to offer advice and clinical supervision in Structured Medication Reviews and Medicines Optimisation.

 Electronic prescribing is available once developments are agreed with the contracting CCG using TPP SystmOne and enables Digital Care Hub nurses and the pharmacist to prescribe from a local formulary to further reduce GP attendances and hospital admissions.

60

of consultations

through Immedicare

do not require any onward referral

Key Features

  • Our Consultant Pharmacist leads on prescribing, de-prescribing, mentoring / training, medicines safety and research.
  • Our Consultant Pharmacist helps to develop a service that responds to local needs.
  • Offering enhanced clinical support for safer implementation of Medicines Optimisation including de-prescribing backed by 24/7 nurse access to support residents with changes to their medicines and to provide confidence that changes can be managed safely and gradually with support of the Immedicare non-medical prescribers.
  • We can support PCNs with Structured Medication Reviews utilising our video capability to enable shared decision making.
  • Review of medications to reduce future falls risk linking with local pharmacy teams and GPs.
  • Supporting improved medication for mental health and dementia. Including capability to support the development of services to Learning Disabilities care homes around STOMP/STAMP.
  • Virtual Training for care homes in quality systems to reduce medication administration errors and in Medicines Management to meet CQC standards.

Falls Service

Today around 4,500 residents in England will suffer a fall in a care home, it is the number one reason for residents having to attend the Emergency Department, and it needs our urgent attention.

Current protocols in many care homes direct carers to contact 111 / 999 following a fall, and this frequently results in residents being conveyed to hospital. However, carers need a safe alternative pathway, and this is where Immedicare can help.

Providing care homes with access to a clinical Hub that is staffed by registered practitioners enables non-registered care home staff to be supervised remotely and supported to carry out tasks and care that may have previously been the realm of registered practitioners. Assessments of residents who have fallen and the development of a falls risk assessment and prevention plan can be carried out remotely. By releasing this time, registered nurses and therapists in community settings are able to deliver more specialist care to those people who require skilled nursing and therapeutic interventions, whilst being assured that non–registered staff in care homes continue to receive supervision from registered colleagues virtually.

83

of residents

stay in their home

post-fall when being assessed through Immedicare

Key Features

  • 24/7 clinical assessment and support for all residents who fall to reduce attendances at ED and acute admissions.
  • Virtual clinical supervision in safe patient handling and the use of lifting equipment for moving residents quickly and safely after a fall.
  • Review of resident’s medication, nutrition and hydration.
  • Support development of individual falls risk assessments and prevention plans.
  • Deliver virtual MDT falls clinic for complex fallers – Physio, OT, Pharmacist.
  • Virtual therapeutic advice and training to include moving sessions for residents and staff.
  • Development of a local virtual discharge pathway for early supported discharge and proactive post hospital discharge calls to support staff and residents in the recovery phase.
  • Training of staff in risk assessment, falls prevention, mobility assessments and best practice on care following a fall.
  • Collaborate with local PCNs to support the development of an effective falls’ prevention pathway.

Training Programmes

Helping to Develop Your Local Care Home Workforce

Specialist nurses, therapists, doctors and other healthcare-related professionals deliver training to staff as part of on-going and continuing professional development (CPD) but it is increasingly difficult for staff to attend these sessions due to having to travel or being unable to access study time. The ability to access training remotely, delivered by skilled professionals cannot be underestimated. Immedicare offers virtual training programmes that can be accessed by staff at all levels. Up to 40 care homes can access the training at any one time which allows for a broad reach for the trainers and no necessity for them to travel to the different locations to deliver the training session.

Any concerns from staff were soon put aside following the professional support and training provided by Immedicare

Chris WhiteThe Gateway Care Home

Key Service Features

  • Co-developing and producing specific training modules aligned to your local requirements.
  • Monthly Virtual Training Sessions for registered and non-registered practitioners in RESTORE2 and soft signs (preventing deterioration), Falls prevention, Dementia care, Catheter care, Leg and foot Ulcers, Medication Support, UTIs, MSK injuries and Top to Toe Assessments.
  • Pre and post training contact to test learning and confidence levels.
  • Monthly Virtual Top Tips Sessions on common issues such as Nutrition and Hydration, Tissue Viability (React to Red) and End of Life Care
Telemedicine service

End of Life Care

As part of the core service offer, the Immedicare clinical team supports care home staff to give excellent care, enabling residents in their last days and weeks of life to receive high quality, evidence based, end of life care in the place of their choosing.

Access to around the clock clinical support for carers providing End of Life Care

Key Features

  • 24/7 clinical assessment and support for residents approaching the end of their life to reduce unnecessary attendance at ED and acute admission.
  • Virtual clinical supervision in safe use of medical devices i.e syringe drivers.
  • Review of resident’s medication, nutrition and hydration needs by the Immedicare clinical assessors and pharmacist when required.
  • Virtual clinical supervision of response to altered medications to support safe care and deprescribing
  • Virtual discharge pathway to facilitate fast discharge where appropriate.
  • Proactive calls post hospital discharge to support staff caring for residents approaching the end of their life.
  • Virtual training and development of staff in end of life best practice.
  • Collaboration with local PCNs and hospices to support  effective end of life pathways.
  • Virtual verification of death.

Nutrition and Hydration Service

During the 24/7 clinical assessment, the Immedicare clinical team will carry out where necessary, an assessment of the resident’s nutrition and hydration needs to support the delivery of excellent care by the care home team.

Offering specialist support and guidance around the complex subjects of Nutrition and Hydration

Key Features

  • 24/7 clinical assessment and support for all residents who are dehydrated or malnourished to improve outcomes and reduce attendances at ED and acute admissions.
  • Virtual clinical supervision in the safe use of oral nutritional supplements (ONS) and medical devices used for enteral feeding, to both reduce the risk of malnutrition and dehydration or following its development.
  • Virtual discharge pathway to support early discharge with proactive calls post hospital discharge to support staff and residents in the recovery phase.
  • Training and development of care home staff in risk assessment, nutrition, hydration and best practice to identify, prevent and/or treat malnutrition and dehydration.
  • Follow up virtual monitoring to ensure intended outcomes of prescribed supplements are being achieved
  • Collaboration with local PCNs to develop effective malnutrition and dehydration prevention pathways.

Tissue Viability Service

During the 24/7 clinical assessment, the Immedicare clinical team will carry out where necessary, an assessment of the resident’s skin and pressure areas to support the planning and delivery of excellent care by the care home team.

In one particular case, we had a resident with a significant wound and were concerned about the deterioration of the wound. We were unable to get Tissue Viability specialist support and so we used the Telemedicine service for advice. The nurses at the Digital Care Hub were very helpful and were able to give us the advice we needed which meant we did not need to ring for an ambulance.

Helen HepworthClinical Service Manager of Midland Care Home

Key Features

  • 24/7 clinical assessment and support for all residents who have a leg ulcer, pressure ulcer, moisture lesion or other skin damage to reduce GP and community team visits, attendance at ED and acute admission.
  • Virtual clinical supervision in safe wound care management, use of wound dressings, use of pressure relieving mattresses and other equipment to reduce the risk of developing skin damage.
  • Development of individual skin integrity risk assessments and prevention plans during virtual clinical assessments.
  • Review of medication, nutrition and hydration status and its impact on skin damage.
  • Virtual discharge pathway to support early discharge with proactive calls post hospital discharge to support staff and residents in the recovery phase.
  • Training and development of care home staff in risk assessment, pressure ulcer prevention, mobility assessments and best practice on care to prevent and/or treat skin damage.
  • Collaboration with local PCNs to develop effective pressure ulcer prevention pathways.

Further enhancements to these care elements, coming soon!

Nutrition and Hydration

Coming soon!

Tissue Viability

Coming soon!

Enhanced End of Life Care

Coming soon!