Learning care homes: Continuous improvement of structured referrals.


Many emergency admissions from care homes are unnecessary, cause distress and place pressure on the NHS and social care. HealthCall is an app which aims to streamline residents’ care by giving staff the tools to monitor and submit observations digitally to NHS Clinical teams when concerned about their wellbeing. This helps clinical staff to triage referrals to get residents the most appropriate care first time.

Key findings include:

  • Reduced Emergency Attendances: HealthCall contributed to an 11% reduction in emergency department attendances from care homes
  • Fewer Emergency Admissions: There was a 25% decrease in emergency admissions among care home residents
  • Minimised Readmissions: HealthCall curbed readmissions within 28 days by 29%
  • Shortened Length of Stay: The study found an 11% reduction in the length of stay for emergency admissions
  • Cost analysis reported a reduction of £57 per resident in 2018, increasing £113 per resident in 2021.


Currently Underway

Team Contact:

Theme Lead

Other projects

What happened to my patient? A novel automated patient follow-up system for A&E Clinician’s Reflections

The purpose of this study was to create and assess a novel automated system providing A&E clinicians working at the Northern General Hospital (NGH), Sheffield with patient follow-up information. The...

A pilot study exploring the impact of self-rostering on junior doctor wellbeing in a tertiary adult emergency department

Research has shown emergency medicine has the highest burnout levels of any specialty and burnout and poor wellbeing have been linked to absenteeism and rota gaps. The implementation of self-rostering,...

Using a Delphi study to define avoidable emergency department attendances in young adult patients

Some emergency department (ED) visits are for care that, although urgent, could be managed by a GP. We need clarity about what these ‘avoidable attendances’ (AAs) are and how to...

Do you have a research idea or want to learn more about our work and how it could be implemented in your area?