Resources For Hospital Staff and GPs

How Hospital staff should to refer to the service

Patients may be referred by telephone prior to Trak Care referral:

1. An Older Peoples Medical Consultant from the Queen Elizabeth University Hospital, Referrals are accepted between 9am-5pm Monday – Fridays (excluding public Holidays). Patients must have a Glasgow City South postcode, however, the service is being extended to additional postcodes in Glasgow North West, please contact the coordinator to check if your patient’s postcode is within this new group.

2. An Advanced Frailty Practitioner from the Home First Response Service. Referrals are accepted between 9am-5pm Monday – Fridays (excluding public Holidays). Patients must be from a Care Home with a Glasgow City South Postcode.

Inclusion / Exclusion Criteria

Inclusion Criteria

Assessed by a clinical physician and deemed safe to be managed by H at H service prior to referral:

• Over the age of 65
• Care Home resident in Glasgow City South
• Hospital at Home interventions Oxygen 3L,Iv Fluids/Frusemide, antibiotics
• Acute Exacerbation of Long Term Condition​ requiring above interventions
• COVID – Current guidelines or transfer to Care Home to be followed if patient has tested positive
• Delirium​
• Selected fractures – Vertebral fracture, rib, pelvis rami, GI bleed where Glasgow Blatchford Score <1

Exclusion Criteria

• Stroke which meets stroke inpatient criteria
• Fractures receiving surgical intervention
• laceration requiring suturing (once sutured patient can be admitted to H@H)
• Head Injury with normal CT brain scan
• A GI bleed which requires urgent OGD/Colonoscopy

Contact Details

To discuss referral Contact the Hospital at Home Team:

Telephone: 07971234257

How GPs should refer to the service

Referrals will only be accepted via telephone. Please Do not submit a sci referral until accepted on telephone.

TEL :07971 234 257

The patient must have been assessed by a Doctor and meet the inclusion criteria. Patients are accepted between 9am-3pm Monday – Fridays (excluding public Holidays). Patients must have a Glasgow City South postcode, however, the service is being extended to additional postcodes in Glasgow North West, please contact the coordinator to check if your patient’s postcode is within this new group.

They must have been assessed by a Doctor within 24 hours prior to referral, and deemed safe to have their condition managed at home with support from the Hospital at Home Team.

Referrals are accepted from 9.00am – 3.00pm Monday – Fridays (excluding public Holidays)

Inclusion / Exclusion Criteria

Inclusion Criteria

Assessed by clinical physician and deemed safe to be managed by H@H service prior to referral

• Over the age of 65
• Acute functional decline due to underlying health conditions;​ 
• Acute complex multiple medical problems​
• Frailty – acute decline of uncertain cause
• Exacerbation of COPD/Asthma/Heart failure ​
• High risk of hospital admission/deterioration​
• Acutely unwell nursing/care home patient  with any of these presentations​
• Severe infections – Pneumonia, UTI or Cellulitis​
• Delirium​
• Recurrent falls with no injury likely due to underlying acute illness​
• Dehydration​
• UTI with multi-resistant organisms needing IV antibiotics​
• Acute presentation of suspected advanced malignancy​
• Covid

Exclusion Criteria

• Stroke/TIA
• Cardiac event
• Fractures –  needing acute assessment and possible surgical management eg Hip ​
• GI bleed
• Acute abdomen
• DVT​
• Social care crisis
• Diabetic ketoacidosis​
• Head injury

Contact Details

To discuss referral Contact the Hospital at Home Team:

Telephone: 07971234257