BHR Acute Respiratory Virtual Ward Team photo

About the Acute Respiratory Infections Virtual Ward service

The Acute Respiratory Infections (ARI) Virtual Ward provides advanced care for patients across the BHR boroughs of London for up to 14 days. Our team supports patients with various long-term respiratory conditions on early supported discharge pathway and we support oxygen weaning in community. We also care for patients with COPD experiencing infective or non-infective exacerbations on admission avoidance pathways, allowing recovery in the comfort of their homes. We cover all the above-mentioned pathways with our 25 bed capacity.

Integrated Virtual Care with NELFT and The Access Group by ITN

Increasing demand combined with less funding is creating a number of challenges for the NHS and as a result, the use of digital innovations has surged. The Access Group and North-East London NHS Foundation Trust are developing new integrated approaches to healthcare including a Virtual Ward programme, which aims to deliver better outcomes for patients, clinicians and communities. 

Services we offer

  • Remote Monitoring: We monitor patients' health via the WHZAN device to ensure immediate support. The device will record the vitals (Heart Rate, Respiratory Rate, Spo2, Blood Pressure and Temperature) and calculate NEWS Score.
  • Prescriptions & Equipment: Respiratory medications prescribed as needed, with nebulisers provided on loan for up to two weeks.
  • Chest Physiotherapy: Breathlessness management, chest clearance techniques, prescription of PEP devices, and initiate early rehab at home.
  • Personalised Care Plans: Tailored plans addressing each patient’s unique respiratory needs.
  • Daily Multidisciplinary Team (MDT) Meetings: Daily board rounds involving respiratory consultants and ACPs.
  • Point of Care Testing (POCT): CRP assessments to inform antibiotic prescribing decisions.
  • Collaborative Care for Comorbidities: Working with teams for long-term conditions to address health complexities.
  • Social Support: Partnering with reablement teams to assist with social needs.

For clinicians

Service lead: Mangalaram Sadhasivam – AHP Consultant and Respiratory Professional Lead

Tel: 0300 300 1881
Email: BHRrespVW@nelft.nhs.uk

Referral and eligibility

We accept referrals for patients requiring supported discharge, oxygen weaning, or COPD admission avoidance care. This service is open to patients aged 18 and over, recovering from acute respiratory infections and long-term respiratory conditions.

Referrals

  1. GPs and Community health care professionals: To call 0300 300 1881. Referrals will be accepted based on triage, bed capacity and clinician availability. 
  2. BHRUT/Whipps Cross/Newham hospitals: Referrals sent via Portazana login or by calling 0300 300 1881.

Criteria

Download/view the criteria information: ARI VW information leaflet for referrers Oct 2024.pdf [pdf] 170KB

Download/view our Early Supported Discharge leaflet: Acute Respiratory Infection Virtual Ward Early Supported Discharge Leaflet (2).pdf [pdf] 4MB

 

Service user feedback

Image: Man looking at the camera, with quote saying "The team was brilliant, loved their service."Text: 86% of respondents said the service completely or significantly reduced their anxiety related to their condition. 57% of respondents said they would have attended A&E if the virtual ward was not available. 97% of respondents said they would recommend the virtual ward to others with similar conditions.