Evaluation of Health Call Undernutrition Service

Undernutrition affects an estimated three million individuals, 93% of whom live in the community (Russell 2009). If untreated it increases risk of illness, clinical complications and death (Brotherton 2010).  Undernutrition triples mortality in older people in hospital and after discharge (Stratton 2006), and impacts patient experience / outcomes whilst costing the UK economy over £13 billion annually (Elia 2009).

County Durham and Darlington NHS Foundation Trust have developed an innovative digital method of monitoring patients prescribed with oral nutritional supplements – the Health Call Undernutrition Service. They are looking at the impact of changing dietetic service delivery from traditional outpatient appointments or home visits to using the Health Call Undernutrition service locally, regionally and nationally.

The pilot evaluation showed potential cost savings of over £150K if the Health Call Undernutrition service were to be rolled out to 1,000 patients.

The Health Call Undernutrition Team won the ‘Service Improvement’ category at the Bright Ideas in Health Awards 2014 and the ‘Improving health using technology’ category at the HSJ Value in Health Care Awards 2014. They were also ‘Highly commended’ at the HSJ Patient Safety Awards 2016.

Project Resources

Evaluation of Health Call Undernutrition Service: Case Study 

September 2015 presentation – Telehealth Project Updates Event

September 2015 Presentation – Frail Elderly Project Updates Event

 (case study uploaded on 1st December 2016)

Representation of the Health Call Service



Health Call in the Care Home Environment



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