Acute Illness in Care Homes: Assessment and Next Steps
Understand the role and limits of additional remote GP assessment alongside existing clinical and emergency care arrangements.


When a care-home resident becomes unwell, the priority is an appropriate clinical assessment and the right next step for that individual. Some concerns may be assessed remotely; others require examination, investigation or hospital care.
An individual decision
A service should not promise that an acute illness can always be managed within the care home. The resident’s needs, available information and clinical assessment guide the plan. Hospital assessment must not be delayed to meet a transfer-reduction target.
Support the consultation
Use the agreed clinical contact route during the home’s service hours.
Explain the concern and relevant background through the designated secure arrangements.
Ask for clear next steps and clarification if instructions are uncertain.
Follow the home’s existing escalation procedures and any individual clinical plan.
Know what is included
Remote-first GP support is an additional route to advice. Face-to-face attendance, medicine availability and further investigations should never be assumed to be included. Confirm the service scope during onboarding.
Discuss additional GP access
RTCGP offers additional private GP access for care homes during agreed out-of-hours periods, alongside the resident’s usual GP and existing NHS services. Service hours, availability and scope are agreed with each home before the service begins.
The service is remote-first. Where an in-person assessment is needed, the appropriate route will be advised. Any privately arranged visit is subject to clinical need, location, availability and separate agreement.
A GP may prescribe following assessment where clinically appropriate and within the agreed clinical-provider arrangements. A consultation does not guarantee a prescription or immediate access to medicines.
RTCGP is not an emergency service. For a life-threatening emergency, call 999. Do not delay urgent or emergency care while waiting for an RTCGP response. Follow your home’s existing escalation procedures.
Book a care-home discussion to explore the support your home needs. This is a business introduction, not a medical consultation; do not submit identifiable resident information.
Contacts
+44 7551269003 director@rtcgp.co.uk
RTCGP
Additional private GP access for care homes during agreed out-of-hours periods, alongside existing NHS services.
Availability is confirmed for each home. RTCGP is not an emergency service.


