Dawn Jones and Ela Lewis
Welsh Ambulance Services NHS Trust
Context
The Welsh Ambulance Services University Trust had an opportunity to test remote monitoring technology (RPM) within a Remote Clinical Care environment. This approach was tested in care homes and the community to enable clinicians to remotely case manage and support delivery of the right care, in the right place, every time.
Objectives
- Identify early learning
- Understand the impact of RPM technologies on patient outcomes and clinical decision-making
What physiological observations were we measuring?
Results
PDSA cycle date range: October 2025 to January 2026
- 61% of patients from Care Homes
- 19% of patients from the Community
- 17% of patients did not require RPM
- 3% incomplete data sets
- 67% of patients required on scene assessment post remote assessment
- 29% of patients were on ‘held’ to seek alternative method of care delivery
- 4% of patients required an interim on scene response
In 70% of incidents, clinicians strongly agreed or agreed that remote monitoring influenced their clinical decision-making.
Conclusions
- There is potential to utilise remote monitoring technology within an ambulance setting.
- Early information suggests that remote monitoring enabled more tailored ambulance responses.
- Further exploration is required to understand the impact due to limitations in data.
- Delivery of community-based management of care requires a systems approach.
