Document type
Clinical pathways
South and West Hertfordshire
Output type
Clinical Pathways
Alternatives To Admission|South West Hertfordshire

Alternatives To Admission| South West Hertfordshire

Pathway published: June 2023.
Next review date: June 2025.

FOR SECONDARY CARESouth West Hertfordshire Trust.

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.


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.


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