Hospital In The Home

Hospital in the Home (HITH) is acute care – the same care, to the same standard – delivered in the patient’s own home instead of a ward bed. Patients remain admitted to your health service throughout, under your treating team and your clinical governance. We provide the clinical workforce, equipment, monitoring technology and round-the-clock response that make it safe.

Our teams manage IV antibiotics and infusions, complex wound care, anticoagulation and post-surgical recovery, with scheduled visits up to three times per day, daily medical review and remote observation between visits. Every patient is screened against criteria your clinicians help write, then assessed for their home environment, carer support and connectivity before admission.

Every patient also has a documented escalation pathway. If their condition changes, our clinicians escalate to your treating team, with direct return to your facility through a predetermined pathway when required.

What makes the model work at scale is local staffing. Our nurses, doctors and allied health staff live and work in the communities they serve, so response times are real and patients see the same faces from admission to discharge. We hold accreditation against the NSQHS acute care standards, and activity is captured and reported against the relevant care type, so the episode flows into your existing performance reporting rather than sitting to one side of it.

The evidence base is strong. A meta-analysis of 61 randomised controlled trials found hospital in the home reduced mortality and readmissions, cost significantly less per admission, and produced higher patient satisfaction in 21 of the 22 studies that measured it.

For your service, the practical result is capacity – beds returned to acute demand without capital works, through a program built around how you already work.