I am a SpR in Geriatric and General Medicine in South East London and have spent 2 years on an OOPE with the West Kent Home Treatment Service.

My reflection on community Geriatrics

Having spent all my training in the hospital, 2 years in the community was very daunting to begin with, but I have learnt so much in this role, skills which I can transfer into my training role in the hospital. ...

I have been fortunate to work as a Specialist SAS Doctor in a Frailty Hospital at Home team for many years and have recently welcomed trainee Doctors into our team.  Integrating them into our team of SAS Doctors, Advance Clinical Practitioners, Therapists, Nurses and Pharmacists allowed me the chance to reflect on the challenges of adapting their current hospital-based training to this new model of care and the challenges and joys observed along the way. ...

I was quite apprehensive to start working in the community. As an internal medicine trainee, I was at home in my familiar surroundings of the hospital. Unsurprisingly, I learnt a great deal. No CT scanner, but I had my stethoscope and pretty much everything else I could need in the boot of the car. ...

Lead Pharmacist Ambulatory Care at Oxford University Hospitals NHS Foundation Trust, and HaH Society committee member, Sophie McGlen recently wrote a blog about the role of pharmacists in HaH and virtual wards.

Hospital at Home team members have a strange and magical mix of skills; they must focus on attention to detail and think creatively; lead confidently and share decision-making; use clinical skills accurately and act pragmatically to maximise a person’s function at home ...