Case Studies

Case Studies

Our case studies demonstrate the real-world impact that integrated Hospital@Home services can have for patients, families, and healthcare systems. By comparing traditional discharge pathways with enhanced Hospital@Home support, these examples highlight how earlier intervention, multidisciplinary collaboration, and rehabilitation within the home environment can improve recovery times, reduce hospital stays, and deliver better long-term outcomes for patients.

Comparative Case Study – JL’s Rehabilitation Journey

Traditional Discharge Pathway (Without Hospital@Home)

Following a stroke, JL remained in hospital for five months despite being medically fit for discharge for nearly two of those months. Delays occurred due to the lack of an appropriate reablement-focused care package.

Once support was eventually arranged, Abicare delivered a structured rehabilitation programme focused on mobility, daily living activities, nutrition, and rebuilding independence.

Although JL ultimately achieved positive outcomes, her prolonged hospital stay increased the risks associated with deconditioning, delayed rehabilitation, emotional fatigue, and extended pressure on acute hospital capacity.

Hospital@Home Pathway (With Early Intervention)

With Abicare Hospital@Home intervention, JL could have been discharged significantly earlier with integrated clinical and rehabilitation support already in place at home.

A multidisciplinary approach involving rehabilitation, chest infection management, physiotherapy, occupational therapy, nutrition support, and personalised care would have enabled recovery to begin sooner in a familiar environment.

By delivering responsive rehabilitation at home, JL’s independence, confidence, and mobility could have improved faster while reducing unnecessary hospital bed occupancy and lowering the risk of hospital-related decline.

Visual Outcomes Timeline – Comparison

Timeline

Traditional Pathway

Hospital@Home Pathway

Weeks 0–11

Acute hospital recovery

Acute hospital recovery

Weeks 11–12

Medically fit but delayed in hospital

Home assessment and discharge planning completed

Week 12

Continued hospital stay

Early discharge home with Hospital@Home support

Weeks 12–20

Ongoing delayed discharge

Rehabilitation, therapy, nutrition, and clinical support delivered

Weeks 20–21

Finally discharged home

Significant recovery and increasing independence

Weeks 21–27

Rehabilitation begins

Higher independence achieved sooner

End Outcome

Independence regained after 27 weeks total

Comparable or improved independence achieved by week 18

Readmission Risk

Approx. 15%

Approx. 5%

System Impact

Extended bed occupancy

Earlier bed availability and reduced hospital pressure


Key Outcomes Comparison

Without Hospital@Home

  • Five month hospital stay

  • Nearly two months medically fit but unable to discharge

  • Delayed rehabilitation progression

  • Increased hospital deconditioning risk

  • Higher pressure on NHS bed capacity

  • Greater readmission risk

With Hospital@Home

  • Potential discharge up to two months earlier

  • Integrated multidisciplinary rehabilitation at home

  • Faster functional recovery

  • Improved patient confidence and wellbeing

  • Reduced acute hospital pressure

  • Lower projected readmission risk

  • Enhanced patient and family experience