Complex outpatient antimicrobial therapy (CoPAT) activity data for the Acute Care at Home (ACAH) in Cornwall, UK - Posters - Objectives, Methods, Results, Conclusions

Sep 29, 2026

Quantifying annual CoPAT activity delivered through the Acute Care at Home (ACAH) service in Cornwall over June 2024 to May 2025, focusing on total treatment days. Missed treatment days due to delayed or declined referrals from capacity constraints were collected as a secondary outcome. Daily electronic handover records were reviewed on weekdays and monthly Excel baseline data tracked treatment types, including IV and oral therapies and monitoring only. Results show 10,338 total treatment days with 97% infectious diagnoses and 20% potential delivery loss from capacity limitations.

LanguageEnglish

CategoryHealthcare

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Pages1

Reading Time3 min

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Objectives

Methods

Results

Conclusions

References

Posters Objectives: To quantify annual CoPAT activity, focusing on total treatment days delivered; additional treatment days missed due to delayed or declined referrals caused by capacity constraints was also collected as a secondary outcome. Methods: All patients receiving care under the ACAH are recorded on the electronic handover sheet which is updated daily by the duty nurse. This sheet was reviewed daily on weekdays by the Antimicrobial Stewardship (AMS) Pharmacist or AMS Pharmacy Technician, and the following baseline information was recorded for every patient on a monthly Excel sheet: name, NHS number, referral source, date treatment with ACAH commenced and location within Cornwall. The treatment delivered to the patient was also entered onto this data collection sheet, which would include: IV antibiotics (IVA), oral antibiotics (PO), IV diuretics (IVD), IV ﬂuids (IVF), IV blood products (IVB), blood monitoring only (BO) and any other IV drugs, excluding antibiotics, diuretics, ﬂuids and blood (IVO) . This information was collected for June 2024 – May 2025 . To quantify the missed activity due to deferred or declined referrals, the patient’s details were recorded by the duty nurse on receipt of a referral where the referral was unable to commence due to lack of capacity within the service. The Consultant Lead for the service reviewed every electronic referral made to the service and identiﬁed all delayed acceptance. Results: Between June 2024 to May 2025, theACAH team delivered a total of 10338 treatment days; 10039 (97%) were for the management of infectious diagnoses, and 299 (3%) for non-infectious diagnoses. Of the infection management cohort, 6259 days (63%) were nurse-delivered IV therapy, 516 days (5%) were patient selfadministered IV therapy, 3015 days (30%) of complex oral antibiotic regimes and 213 (2%) of monitoring only. Capacity limitations resulted in 2098 missed treatment days, representing a potential 20% increase in service delivery. Conclusions: ACAH provides safe, effective home-based care across Cornwall’s challenging geography, supporting NHS aims to manage more patients at home.2 Despite delivering over 10000 therapy days, capacity constraints limit further expansion. Future audits incorporating patient complexity will be key to evaluating and developing this evolving service. References 1 Chapman ALNet al. Updated good practice recommendations for outpatient parenteral antimicrobial therapy (OPAT) in adults and children in the UK. JAC Antimicrob Resist 2019; 1: dlz026 . 2 Department of Health and Social Care. Fit for the Future: 10 Year Health Plan for England – Executive Summary. 2025. [https://www.gov.uk/government/](https://www.gov.uk/government/) [publications/10-year-health-plan-for-england-](publications/10-year-health-plan-for-england-)ﬁ[t-for-the-future/](t-for-the-future/)ﬁ[t-for-the-future](t-for-the-future)- 10-year-health-plan-for-england-executive-summary Abstract citation ID: dlaf239.017 P13 Complex outpatient antimicrobial therapy (CoPAT) activity data for the Acute Care at Home (ACAH) in Cornwall, UK Daniel Hearsey1, Nicola Leigh1, Sarah Crowle2, Jennie Stephens3 1Pharmacy Department, Royal Cornwall Hospital NHS Foundation Trust, Cornwall, UK; 2Cornwall Partnership NHS Foundation Trust, Cornwall, UK; 3Intensive Care Department, Royal Cornwall Hospital NHS Foundation Trust, Cornwall, UK Background: The Acute Care at Home (ACAH) team delivers secondary care-level treatment to prevent admission and facilitate early discharge for patients across Cornwall with infectious and non-infectious conditions in their own homes. The service operates jointly between Cornwall Partnership NHS Foundation Trust (CPFT) and Royal Cornwall Hospital NHS Foundation Trust (RCHT); it operates in-line with the BSAC OPAT Good practice recommendations guidelines.1 It is led by a clinician from RCHT (Consultant in Acute and Intensive Care Medicine) and supported by an Antimicrobial

FAQs

What was the primary objective of the CoPAT activity study for ACAH in Cornwall?

To quantify annual CoPAT activity, focusing on total treatment days delivered through the ACAH service.

How were treatment days and baseline patient data collected?

Patients were recorded on a daily-updated electronic handover sheet, reviewed on weekdays by the AMS pharmacist or technician, and baseline information was stored monthly in an Excel sheet.

What did the study find about infectious versus non-infectious diagnoses and missed activity?

Between June 2024 and May 2025, 10,338 treatment days were delivered: 97% for infectious diagnoses and 3% for non-infectious diagnoses. Capacity limitations caused 2,098 missed treatment days, a potential 20% increase in delivery.

Sep 29, 2026

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