The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more

RAG rating
n/a
Document type
Clinical pathways
Place
East and North Hertfordshire
Output type
Clinical Pathways
Pathway
Alternatives To Admission | East and North Hertfordshire (FOR PRIMARY CARE)Alternatives To Admission in ED| East and North Hertfordshire

Alternatives To Admission | East and North Hertfordshire

Pathway published: September 2025.
Next review date: September 2027.
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Acute care can be provided in the community or as same day emergency care (SDEC) to prevent deconditioning, reduce risk of delirium and falls, and hospital acquired infections.  

Acute care in the community includes Urgent Community Response/Rapid Response (providing care in peoples home within 2 hours), and Virtual Wards/ Hospital at Home. 

Please consider the risks of hospital admission for individuals, particularly those who are frail (Rockwood 4+), resident in a care home, or end-of-life. Check for advanced care plans.

Services and pathways, including opening times and contact details for all acute community care and SDEC are available in the attached.





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