Home-Based Care Can Reduce Emergency Hospital Visits for Older Adults

A new home-based intervention could significantly reduce emergency hospital admissions for older adults with mild frailty, according to a recent study led by UCL researchers and published in The Lancet Healthy Longevity. The study found that providing personalized support at home helped older adults stay healthy and independent, cutting unplanned hospital visits by 35% and saving the NHS £586 per person per year.

What Is Mild Frailty and Why Does It Matter?

Frailty is a condition that affects many people over 65, making it harder for them to recover from illnesses or injuries. It increases the risk of hospitalization, disability, and long-term care needs. Early intervention can slow down frailty, helping older people stay independent and avoid emergency hospital visits.

How Does the Home-Based Support Program Work?

The HomeHealth intervention involves six personalized home visits from a trained support worker. These visits focus on:

✔️ Home Exercise Programs – Strength and balance training to prevent falls.
✔️ Nutritional Support – Guidance on diet to improve energy and overall health.
✔️ Mental Well-Being – Activities to reduce stress and boost confidence.
✔️ Social Connections – Helping older adults stay engaged with their community.

The Clinical Trial: Key Findings

  • Participants: 388 older adults with mild frailty from London, Hertfordshire, and Yorkshire.
  • Two Groups: 195 people received the home visits, while 193 received usual care.
  • Follow-Up: After one year, the researchers compared both groups.

📉 Results: The group that received home-based care had:
35% fewer emergency hospital admissions
Improved well-being and reduced psychological distress
Better frailty scores, meaning slower health decline
Cost savings of £586 per person per year for the NHS

However, the study found that while the intervention improved health and well-being, it did not significantly increase independence in self-care activities.

What This Means for the Future of Elderly Care

This research supports the UK Health Secretary’s plan to reduce pressure on hospitals by focusing more on preventative and community-based care. Andrew Farmer, Director of the NIHR Health Technology Assessment Programme, stated that early interventions like HomeHealth can help older adults remain independent while reducing hospital and care costs.

With the right funding and support, this home-based service could be available across the UK within the next two years.

A Step Towards Better Elderly Care

Investing in preventative healthcare can reduce hospital strain, lower costs, and improve quality of life for older adults. As healthcare professionals, we must advocate for home-based interventions that help older patients stay independent.

🔹 Doctors & Healthcare Providers: Stay informed about home-based care models and recommend them to eligible patients.
🔹 Policymakers & Health Administrators: Support funding for community-based interventions to reduce hospital admissions.
🔹 Families & Caregivers: Encourage healthy habits like exercise, good nutrition, and social engagement for elderly loved ones.

📢 Let’s take action today! Share your thoughts on preventative care and its role in reducing hospital admissions. Together, we can create a healthcare system that prioritizes independence and well-being for older adults.

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