Primary Integrated Community Services (PICS): Acute Home Visiting Service

The Acute Home Visiting Service is a responsive and effective home visiting service for patients that prevents them attending accident and emergency and relieves GP workload.

Any housebound or care home patient requiring an acute same day visit from a GP was seen by a highly skilled and experienced advanced nurse practitioner, with non-medical prescribing skills, highly experienced in primary care with good skills and competencies in urgent conditions, including acute respiratory and cardiac conditions.

The Acute Home Visiting Service was piloted Newark in 2017, providing support to seven general practices in the locality serving 76,000 patients.

Read a detailed case study about this project at HSJ Solutions 


  • Northern Devon Healthcare Trust: Improving outcomes through the Lower Limb Leg Ulcer and Well Leg Service – HIGHLY COMMENDED
  • Brigstock & South Norwood Partnership: Embedding group consultations for people with Type 2 Diabetes
  • Bristol, North Somerset and South Gloucestershire CCG: Reducing unwarranted variation in primary care chronic disease monitoring
  • Kent Community Health FT and Maidstone Borough Council: Rough Sleeper Project (Maidstone)
  • Lewisham and Greenwich Trust, South London and Maudsley FT and Lewisham CCG: CATFORD Care Homes Project
  • NHS 24: Primary Care Triage Scotland
  • North Bristol Trust and Hanham Secure Health: HMP Bristol Hand Injury Project
  • Northumberland CCG, Northumberland County Council and Northumbria Healthcare FT: The Northumberland Continuing Healthcare Partnership
  • Tameside and Glossop Integrated Care FT: District Nursing Service Redesign – A service fit for the future
  • University of Manchester, Health Innovation Manchester, Heywood, Middleton and Rochdale CCG, Bury CCG, Salford CCG, Wigan Borough CCG: The DECIDETM Education Programme; supporting community clinicians