Informal Carers of Patients in Hospital at Home Services
Research type
Research Study
Full title
A Mixed Methods Study Investigating the Health, Caring Activities, and Experiences of Informal Carers of Patients in Hospital at Home Services
IRAS ID
356322
Contact name
Neil Brimblecombe
Contact email
Sponsor organisation
Central London Community Healthcare NHS Trust
Duration of Study in the UK
1 years, 6 months, 0 days
Research summary
a) Background to the Research
Hospital at Home (HaH) services—also known as Virtual Wards—allow patients to receive acute care in their own homes, supported by frequent visits from healthcare professionals. This model reduces hospital admissions and is often preferred by patients. Informal, unpaid carers (e.g., family or friends) are critical to the success of HaH, providing practical assistance, emotional support, and safety monitoring. However, this role can place significant emotional, physical, and financial strain on carers. While HaH services are expanding rapidly across the NHS, little is known about how this model affects carers’ health and wellbeing, or how services might be improved to support them.
b) Aim(s) of the Research
This study aims to explore the experiences of informal carers supporting patients during and after HaH care. It will assess the impact on carers’ health, wellbeing, and finances; examine the nature of the caring tasks performed; and investigate carers’ perceptions of the HaH model. The research will generate evidence-based recommendations to improve support for carers and enhance the effectiveness of HaH delivery.
c) Design and Methods Used
A mixed-methods design will be used. A total of 158 carers will complete validated questionnaires at two time points (during HaH care and four weeks post-discharge), capturing data on health, caring responsibilities, and economic impact. A subset of 40 carers will take part in qualitative interviews to explore their experiences in depth, including safety concerns, service communication, decision-making, and support received. Data will be collected across two NHS sites (urban and mixed urban-rural). Quantitative data will be analysed using descriptive and inferential statistics; qualitative data will be analysed thematically. The findings will inform recommendations to support carers and sustain effective community-based alternatives to hospital care.REC name
HSC REC A
REC reference
25/NI/0127
Date of REC Opinion
24 Sep 2025
REC opinion
Further Information Favourable Opinion