Providing acute care at home to older adults with frailty: nurses’ experiences of working with a hospital at home service
Providing acute care at home to older adults with frailty: nurses’ experiences of working with a hospital at home service
Providing acute care at home for older people, who often have complex health needs and frailty, can prevent hospital-associated harms. This requires an appropriately skilled and experienced multi-professional workforce. This article describes how a newly established consultant practitioner-led (nurse and physiotherapist) hospital at home model in Wiltshire, England, provides acute care for older adults with frailty. The authors also detail the experiences of nurses at varying levels of practice who work in the service, based on their responses to an informal questionnaire. Their experiences illustrate the potential of acute care hospital at home services to support community-based nurses’ professional development and career progression.
Advanced practice, careers, career pathways, community care, consultant nurses, frailty, multidisciplinary teams, older people, professional, professional development
Lewis, Lucy Anne
b7bac6f9-0e97-41da-93fe-9af4f0a27f9e
Nash, Philippa
8be473bc-53aa-44fb-a778-679127034548
25 February 2026
Lewis, Lucy Anne
b7bac6f9-0e97-41da-93fe-9af4f0a27f9e
Nash, Philippa
8be473bc-53aa-44fb-a778-679127034548
Lewis, Lucy Anne and Nash, Philippa
(2026)
Providing acute care at home to older adults with frailty: nurses’ experiences of working with a hospital at home service.
Nursing Older People, 38 (1).
Abstract
Providing acute care at home for older people, who often have complex health needs and frailty, can prevent hospital-associated harms. This requires an appropriately skilled and experienced multi-professional workforce. This article describes how a newly established consultant practitioner-led (nurse and physiotherapist) hospital at home model in Wiltshire, England, provides acute care for older adults with frailty. The authors also detail the experiences of nurses at varying levels of practice who work in the service, based on their responses to an informal questionnaire. Their experiences illustrate the potential of acute care hospital at home services to support community-based nurses’ professional development and career progression.
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More information
e-pub ahead of print date: 25 February 2026
Published date: 25 February 2026
Keywords:
Advanced practice, careers, career pathways, community care, consultant nurses, frailty, multidisciplinary teams, older people, professional, professional development
Identifiers
Local EPrints ID: 510639
URI: http://eprints.soton.ac.uk/id/eprint/510639
ISSN: 1472-0795
PURE UUID: 6f6851ec-d3aa-4a7b-b645-ffdebe0fe5aa
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Date deposited: 14 Apr 2026 16:57
Last modified: 15 Apr 2026 01:54
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Contributors
Author:
Lucy Anne Lewis
Author:
Philippa Nash
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