If possible please try to telephone reception before 10am if you require a home visit.
A doctor or nurse may phone you back, as it may be that your problem can be dealt with by telephone advice or that it would be more appropriate to send a nurse, or indeed, arrange a hospital attendance.
House visits are only available for patients who are housebound because of illness or disability.
Please remember that several patients can be seen in the practice in the time that it takes to make one home visit. There are also better facilities for examining and treating patients at the Practice.
Please let us know if you feel an urgent visit is necessary. Telephone 01298 24105.
Derby and Derbyshire LMC Home visiting Guideline June 2016
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1) Situations where a Home Visit is most appropriate
There are cases where a Home Visit is obviously the most appropriate way to assess a patient. These include:
● Terminally ill patients
● Bed bound patients
2) Situations where a visit may be appropriate
In other cases it may be appropriate to visit patients and should be at the clinician’s discretion. This may include acute worsening of a known condition (eg IECOPD where patient has a care plan including home treatment).
3) Situations where a visit is not usually required
In the vast majority of cases where a patient is usually mobile, with an illness not severe enough to require hospitalization, they should be expected to attend surgery.
4) Visiting Children
Children are generally portable, they can be most accurately assessed in surgery and given emergency treatment if required.
5) Transport issues
It may sound unkind, but it is not the responsibility of the NHS to arrange transport. Lack of transport, or funds for the use of transport are not an indication for a home visit.
Until such time as there is a different and separately commissioned service, home visits should be reserved for those patients who are terminally ill and / or bed bound.
A good benchmark is ‘would the patient reasonably be expected to attend a hospital outpatient appointment, with or without transport?’ If the answer is yes attendance at a GP surgery is most appropriate. Please note this includes those patients in Residential Care.
Summary of recommendations
Home visits remain a valuable part of primary care, and in some circumstances are the most appropriate way of assessing and managing patients.
This guideline shows you that, for the majority of patients, thorough assessment and triage will demonstrate that attendance at surgery is the most appropriate option.
Implementation of the guideline should help ensure home visits are used appropriately, by the practice, and patients alike.