PAT I ENT MONI TORING
Remote monitoring to detect deterioration
Simon Applebaum discusses how the adoption of digital technology, specifically remote monitoring, can give clinical teams unprecedented real-time visibility of their most at-risk patients, and outlines its role in future models of continuous and preventative care.
Recognising deterioration is a primary concern within the NHS. A 2016 report1 from NHS Improvement highlighted the impact of failure to recognise or act on patient deterioration within an acute setting, with 7% of death and severe harm incidents reported to the National Reporting and Learning System (NRLS) in 2015, as a direct result. The report also cites a low level of reporting from primary care, leading to a lack of clarity over the impact of patient deterioration in a less acute setting on the wider healthcare system.
The focus on patient deterioration in the non-acute setting has, however, come under sharp focus during 2020. The need to free
up hospital beds to cope with the demands of the coronavirus pandemic led to many vulnerable patients being discharged early. This, combined with the need to prevent other vulnerable patients – including those in care homes – from being admitted, has emphasised the need for better deterioration management in primary and community care to allow for early intervention.
COVID-19: the catalyst for remote monitoring
COVID-19 has highlighted and accelerated the need for better use of technology to help stretched NHS resources deliver continuity of care to patients. From the adoption of
From the adoption of video consultations, to tele-medicince and remote monitoring, digital solutions have underpinned new concepts such as the “virtual ward”, connecting clinical teams with their patients in the community, enabling the tracking of vital signs in real-time and better triage to know when to intervene.
APRIL 2021
video consultations, to tele-medicince and remote monitoring, digital solutions have underpinned new concepts such as the ‘virtual ward’, connecting clinical teams with their patients in the community, enabling the tracking of vital signs in real-time and better triage to know when to intervene, reducing hospital (re)admissions and increasing system capacity – all while keeping those most vulnerable in the safety of their home. In addition, amidst ongoing concern over care home residents’ health, NHS England and NHS Improvement issued guidance calling for the implementation of a clinical service model for care home support during COVID-19. Remote monitoring is emphasised as key to the support model within the guidance and is also core to the Enhanced Health in Care Homes (EHCH) service. This technology provides a powerful platform that enables clinicians, carers and extended healthcare teams to undertake intensive monitoring, education and empowerment of at-risk patients. Crucially, real-time monitoring gives HCPs visibility of trends to help them recognise and respond to deterioration. Moreover, it provides them with an evidence-base that gives them ‘remote control’ of vulnerable patients, allowing them to intervene proactively
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