A new tool to measure acuity in the community: a case study

Edward Baker, Jose Loreto Facultad, Harriet Slade, Gerry Lee

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)
377 Downloads (Pure)


The provision of acute healthcare within patients own home (i.e. hospital in the home) is an important method of providing individualised patient-centred care that reduces the need for acute hospital admissions and enables early hospital discharge for appropriate patient groups. The Hospital in the Home (HitH) model of care ensures that this approach maximises patient safety and limits potential risk for patients. As HitH services have seen record numbers of patient referrals in the past 2 years, there is now a greater need to measure and understand the acuity and dependency levels of the caseload. Through an expert clinician development process at one NHS trust, aspects of procedural complexity, interdisciplinary working, risk stratification and comorbidities were used to quantify acuity and dependency. This paper uses a case study approach to present a new method of measuring this important concept.
Original languageEnglish
Pages (from-to)482-492
Number of pages11
JournalBritish Journal of Community Nursing
Issue number10
Early online date16 Oct 2021
Publication statusPublished - Oct 2021


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