ORLA Virtual Ward
University Hospitals Bristol NHS Foundation Trust (UH Bristol)
is working in partnership with ORLA Healthcare
to provide a virtual ward service for adult patients (aged over
18). This is an extension of the services offered by the Trust,
with the difference being that all care is delivered in a patient's
home or place of residence.
There are a number of clinical conditions that can be safely
treated in a home setting by a virtual ward service. UH Bristol
doctors and senior nursing staff will spend time with patients to
establish if it is the right decision to admit them to the ORLA
Available 24/7, 365 days a year, the ORLA service is part of a
range of services offered by UH Bristol and patients will remain a
patient in the same way as if they were on one of the wards at UH
Bristol. Patients will remain in the care of the Hospital at Home
service until they have recovered. The ORLA consultant will then
discharge the patient on behalf of the Trust to the care of their
The ORLA clinical team is consultant-led and supported by highly
experienced doctors, registered nurses, skilled healthcare
assistants, pharmacists, physiotherapists and other therapists. The
service operates within the Trust's clinical governance and
management reporting purposes.
The ORLA clinical team will be identifiable at the Trust through
identification badges and an ORLA branded lanyard.
Acute telemedicine technologies will support the work of the
ORLA clinical team for patient monitoring and everything will be
set up in a patient's home by ORLA.
The process can be explained in four steps:
Step 1: Admission
In the emergency department: The UH Bristol consultant and a
senior nurse in the emergency department will discuss suitability
with the patient for receiving care in their own home or place of
residence. They will then refer the patient to the ORLA clinical
team, which will assess the patient for being suitable for the
service and agree a plan of care with the patient.
Wards: The same process as above will apply to existing ward
patients for referral to the ORLA Virtual Ward service.
Step 2: Transfer
ORLA organise transport for the patient and the set-up of
medicines, medical and telehealth equipment needed to provide the
same type of care as in hospital.
Step 3: Care
The patient will receive up to six visits a day from members of
the ORLA clinical team. If required, the ORLA team will provide
some limited social care support.
Step 4: Discharge
When the patient is ready for discharge from the ORLA Virtual
Ward service, the patient's care will be handed back to their
Eligible adult patients for referral to the ORLA service must
live within the Bristol Clinical Commissioning Group (CCG) area.
This eligibility criterion may be reviewed over time.
For more information, please contact the ORLA team on 0117 342
7330 or visit the ORLA