Nurse practitioners in care homes
By Guest Blogger LEON SMITH
Executive vice president, Nightingale Hammerson
A recent Age UK report found that nearly two million NHS days had been lost since 2010 as people remained in hospital waiting for social care. For those of us working in the sector, this comes as little surprise.
Inordinate amounts of money are wasted every week, in some instances through unnecessary hospital admissions and certainly in many instances through delayed discharge. One wonders why this is the case. There are of course numerous reasons, some of these could involve funding issues and games of “pass the bill” between local authorities and the NHS.
Other reasons include the fact that there may not be a suitable bed in an appropriate home available. But another reason can be a lack of confidence on the part of hospitals that care homes are equipped to deal with providing quality medical and nursing care.
Research carried out some years ago on behalf of the Department of Health established that the presence of a nurse practitioner within a care home setting considerably reduced the number of hospital admissions from care homes and could hasten discharge.
In many cases it is simply not viable for providers, and particularly small providers, to bear the cost of a nurse practitioner but there is no reason why a small group of homes in a particular locality could not bear this cost between them, thereby enabling adequate nurse practitioner input, consequent speedy discharge and a subsequent saving to the National Health Service. Indeed, the concept of a senior nurse practitioner providing services to a care home is very much tied in generally with the provision of GP services and one wonders why it is not possible similarly for a GP practice to provide such a service to a group of homes.
To many of you this may sound like a pipe dream, given that a huge proportion of homes at the present time have to pay even to get a GP to come in. It is not, however, rocket science or indeed “go kart” science to deduce that such a scheme, if sufficiently resourced, could save the National Health Service many millions of pounds a year.
- The CT Blog is written in a personal capacity – comments and opinions expressed are not necessarily endorsed or supported by Caring Times.