Vhi HomeCare

Vhi HomeCare is an innovative clinical service available to you and all Vhi Healthcare members. It is a consultant-led "hospital in the home" service allowing suitable patients to leave hospital earlier and continue certain treatments in their own home under the care of our nurses and doctors.

This type of home treatment of various medical conditions has been safely and successfully provided in countries such as the USA and Australia for many years. And now we’re proud to give you this option in Ireland too.

Vhi HomeCare will provide you with the necessary medical and nursing care every day in the comfort of your home, 365 days a year.

Some example treatments:

  • Intravenous (IV) Antibiotics
  • Negative Pressure Dressings (NPD)
  • Anti-Coagulation
  • Total Parenteral Nutrition (TPN).

Patients need to be referred to our service by their hospital consultant or GP. Members can also call our office for more information or to find out if they are suitable for the Vhi HomeCare Service. For more information call (01) 4039474.

Vhi HomeCare is available in Dublin, Kildare, Meath and specific areas in Wicklow, Louth and Wexford. As far south as Gorey and as far north as Dundalk.

Research conducted by Vhi HomeCare found that 99% of patients would recommend the service and 85% would prefer to use Vhi HomeCare rather than being treated in hospital.

What our patients say:

"A big thank you to everyone on the team for all your support at this difficult time for me. Every aspect of the service was exceptional. I have no doubt it will grow from strength to strength"

"Excellent, professional service, highly recommend to others. Very satisfied"

"Excellent care, knowledge and professionalism from all the HomeCare team. Became like part of the family."

Who can receive treatment?

Who can receive treatment?

The Vhi HomeCare service is a highly valuable treatment tool allowing patients suffering from numerous illnesses to receive hospital standard treatment while in their own home. However, Vhi HomeCare is not suitable for everyone or for every condition. Patients suffering from a range of conditions will be treated in the home, but the list of conditions will expand as the service develops. Your Consultant or General Practitioner will be able to advise you when it comes to deciding if your illness is currently treated by the Vhi HomeCare service.

The service is not available to children under the age of 16.

Who is covered for home treatment?

If you are insured under the following plans, you’ll be fully covered for the service, subject to the terms and conditions of your insurance detailed in your Table of Benefits and Terms and Conditions:

Hospital Plans

  • HealthPlus Plans
  • LifeStage Plans
  • Company Plans.

Note: No excess will apply under the excess plans.

No Benefit applies to Plan P or Healthsteps Plans.

Eligible conditions

What conditions are currently eligible for treatment?

Vhi HomeCare provides treatment to patients who have been identified by their GP/Consultant and the Vhi HomeCare team with a condition suitable for treatment at home.

These conditions currently include...

  • Pneumonias
  • Lower respiratory tract infections
  • Urinary tract infections
  • Cellulitis (severe inflammation and infection of the skin)
  • Exacerbations of chronic obstructive pulmonary disease (COPD)
  • Osteomyelitis
  • Endocarditis
  • Anticoagulation
  • Post operative infection and post operative management
  • VAC therapy
  • Cystic fibrosis
  • Iron infusions
  • Change of supra-pubic catheter
  • Septic arthritis
  • Vascular graft/pacemaker sepsis
  • Total parenteral nutrition.

Vhi HomeCare will be expanding their list of suitable conditions for home treatment.

Patient referrals

Patient referrals

Patients may be referred to the service by a General Practitioner, or a Consultant who is registered with Vhi Healthcare. Referrals can be made from...

  • GP or Consultant's rooms (outpatient)
  • Vhi SwiftCare Clinics
  • Emergency departments or in-patient wards in one of the following hospitals...
    • Beaumont Hospital
    • St James's Hospital
    • St Vincent's Hospital
    • St Vincent's Private Hospital
    • Mater Misericordiae Hospital
    • Mater Private Hospital
    • Connolly Hospital
    • Adelaide and Meath Hospital, incorporating the National Children's Hospital, Tallaght
    • St Michaels Hospital, Dun Laoghaire
    • Cappagh Hospital
    • National Maternity Hospital, Holles Street
    • Rotunda Hospital
    • Beacon Hospital
    • Blackrock Clinic
    • Hermitage Medical Clinic
    • Bon Secours Hospital, Dublin
    • Sport Surgery Clinic
    • Our Lady of Lourdes Hospital, Drogheda
    • Our Lady’s Hospital, Navan
    • Naas General Hospital.

Note: Referrals from hospitals (listed in the Vhi Directory of Hospitals) outside of this area may be considered if the patient lives in the Dublin region - such cases should be discussed with Vhi HomeCare.

The Vhi HomeCare Medical Team

The Vhi HomeCare Medical Team

A team of full time specialist nurses and doctors will provide services to you in your own home.

Reassuringly, the Hospital-in-the-Home concept has been pioneered in Ireland by the same clinical team that will provide your care while on the Vhi HomeCare programme. This specialist clinical team is unique in Ireland and is led by Professor Gerry McElvaney and has safely and successfully treated thousands of patients in their own homes for many acute illnesses and chronic conditions.

Vhi HomeCare Medical Director

Professor NG Mc Elvaney MB,
FRCPI, FRCPC, Professor of Medicine, Chairman, Dept of Medicine, RCSI.

The Medical Director’s role is to provide regulatory and high level input and guidance to the other medical and nursing members of the Vhi HomeCare team. The review and adaptation of protocols and the evaluation of the programme on an ongoing clinical basis are also within his remit.

Vhi HomeCare Medical Team

The medical team consists of suitably qualified and experienced physicians. The team provides on site assessment of patients admitted into the programme and medical support and services to the nursing teams. The role and responsibilities of the medical team is broadly similar to that of a hospital based physician.

Vhi HomeCare Nursing Teams

Each of the participating hospitals is assigned a dedicated specialist nursing team. All of our nurses are permanent members of the team and hold all the necessary qualifications for the role. Our nurses have also undergone specific training for working on a Hospital in the Home programme.

A key member of this nursing team is the Clinical Nurse Manager (CNM). This individual is the hub for all admissions into our service. The CNM is “embedded” in the hospitals to which his/her team is assigned. This allows the cultivation of key relationships within the specific hospitals and in turn facilitates smooth and concise referrals into the programme.

Information for Referring Medical Practitioners

Patients may be referred to Vhi HomeCare via the following sources:

  1. A General Practitioner referral relating to a patient in their own home or a Nursing Home in the Greater Dublin Area, or
  2. A referral from a Consultant attached to a hospital listed for benefit from one of the following routes:
    • Accident and Emergency Department
    • From the hospitals inpatient wards
    • Consultants' Rooms.

The referral process is very simple, there is just a short form to complete, which can be downloaded here and faxed to 01 403 9475.

Our Clinical Nurse Managers are available in hospitals to smooth the referral process. All relevant staff in the hospital setting will be able to readily contact this individual to discuss any particular patient regarding the service. General Practitioners can also contact the Clinical Nurse Managers directly. Please contact us to get the number for your nearest CNM.

Once contacted, the CNM will liaise with the relevant staff to process the patient into the service.

FAQs

How often is a patient seen at home?

In all situations, the patient is seen by a member of the Vhi HomeCare team at least once a day, and up to four times a day where required. Sometimes, patients may be requested to attend a diagnostic centre/hospital (transportation will be provided where necessary).

Do patients remain under the care of the referring physician?

All patients accepted into the programme are deemed to be under the direct care of the Vhi HomeCare Medical Director. For the actual care plan, required therapy and prescription will initially be the decision of the referring physician. And this therapy may be changed by the Vhi HomeCare physician in consultation with the referring consultant. At all times the best clinical interest of the patient is central to the operation of the service. All referring physicians will be readily able to contact the co-ordinating nurse through the relevant channels to discuss or monitor patient progress.

Are medications and equipment provided?

Yes, all medication and equipment are provided by the Vhi HomeCare team. Patients referred from hospitals will have a care plan agreed, in consultation with the referring hospital physician and initial doses of medication are administered before discharge.

If a patient requires re-admission to hospital, what is the procedure?

Data suggests that a percentage (between 4 and 6%) may require re-admission to hospital while being cared for in the programme. Re-admission protocols exist for all clinical conditions treated. A decision on re-admission is made by the Vhi HomeCare Medical Director in consultation with the medical and nursing team attending the patient.

How are patients discharged from the service?

Patients will be discharged from the service by the Vhi HomeCare team directly to their General Practitioner or other appropriate managing physician.

Mission Statement

"To provide excellence in the provision of acute care to all our patients, in accordance with the best clinical practices available, and to assist in the recovery of our patients in the comfort of their own homes."

Core Values

Patient Centred Care
Vhi HomeCare shall base all aspects of the provision of its services and standards on the ultimate needs of the patient and the improvement of their quality of life.

Excellence
Vhi HomeCare is committed to developing and supporting a culture of continuous quality improvement.

Innovation
Vhi HomeCare utilises and promotes innovation in the provision of care services to maximise the outcomes.

Respect
Vhi HomeCare will show respect for the worth, quality, dignity, diversity and importance of each patient we serve and also for the people with whom we work.

Compassion
Vhi HomeCare will show compassion in all interactions with patients and their families.

Relationships
Vhi HomeCare endeavours to maximise its relationships with health care professionals to deliver a co-ordinated quality service which is beneficial to the patient and healthcare providers.

Contact Us

Vhi HomeCare
Waverley Office Park
Old Naas Road
Dublin 12

Phone: 01 403 9474

Fax number: 01 403 9475