Imperial College Healthcare NHS Trust Case Study

Case Study

Supporting care homes during a pandemic

How Imperial College Healthcare NHS Trust’s Frailty Team supported care homes to minimize ED attendances and hospitalizations.


Key Results

87 %
ED avoidance
Potential bed days saved
92 %
Patient adherence
£ 2434
Estimated cost savings per patient

Imperial College Healthcare NHS Trust at a glance

Imperial College Healthcare NHS Trust provides acute and specialist healthcare in northwest London for around 1.5 million people every year.

The trust’s care home liaison team, known as the Frailty Team, works directly with 26 care homes within the region to provide support, education, and expertise to staff to ensure their residents are kept safe, well, and out of hospital.


In 2020, it was Imperial’s imperative to minimize avoidable hospitalization of frailty patients in order to protect them from the life-threatening coronavirus.


Limited clinical support within care homes

As is common across England, lack of support to detect and manage residents’ health issues results in high utilization of emergency services. 1,2


Lack of contextual data during patient assessment

ED assessment is challenging due to patients’ multiple interacting comorbidities. As a result, 70% of patients are admitted, staying for an average of 6 days. 3


Frailty patient vulnerability to coronavirus

Hospital transfer carries an increased risk of COVID-19 exposure, which is potentially life-threatening to this patient group.


The Frailty Team used Current Health to minimize care home resident ED attendance and hospitalizations, thus reducing the potential exposure to COVID-19.


Vital sign capture from residents

Current Health’s monitoring kits were supplied to 9 care homes and used to monitor the health of residents of concern.


Clinical insight and remote assessment

The team completed remote assessments to understand symptoms and other important information not made obvious through the vitals data.


Informed decision making

Collectively, this insight helped the team to make informed decisions about resident care so timely intervention could be delivered.

Full Results

With access to Current Health, the Frailty Team was able to take the following interventions to avoid ED admissions:

Residents not admitted to the ED due to ability to intervene remotely


Decrease in overall care compared with inpatient stay


Potential bed days saved due to avoided ED attendance


Patient adherence wearing Current Health device

An estimated £62.5k in cost savings in the first 3 months

“Remote monitoring has allowed the Frailty Team to deliver our service to a larger number of care homes compared to delivering our service on site. That means we are able to provide more homes with the support they need to deliver the right care and manage their patients in the right place.”

Kate Sendall Frailty Clinical Programme Manager

Looking Forward

With the support of remote patient monitoring, the Frailty Team has been able to deliver preventive treatment to patients within care homes, helping to minimize ED attendances and hospitalizations.

Based on the Frailty Team’s success, the trust plans to integrate remote patient monitoring into early supported discharge pathways for patients suffering from COPD and patients recovering from COVID-19.


1. Health Foundation and Nuffield Trust Research (2015) Quality Watch: Focus on hospital admissions from care homes. London, The Health Foundation.

2. The Health Foundation Improvement Analytics Unit Report (2019) Emergency admissions from hospital form care homes: how often and what for? London, The Health Foundation.

3. Imperial College Healthcare NHS Trust Frailty Service data

4. British Geriatrics Society Good Practice Guide (2020) COVID-19: Managing the COVID-19 pandemic in care homes for older people, version 3. London, British Geriatrics Society.


*Based on 6 day average length of stay 5.