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Corridor care

A growing concern in social care and its impact on care homes

Melissa Stanton 31 Jan 2025

Melissa Stanton, the Lead Nurse Independent Health and Social Care for North West England explains the dangers and implications of corridor care in social care and the strategies needed to mitigate corridor care.

The term "corridor care" refers to the practice of providing care to patients or residents in hospital corridors or other non-designated areas due to overwhelming demand and a lack of available resources. While the issue is often associated with hospitals, its ripple effects are deeply felt within social care settings, particularly care homes. This phenomenon has become a pressing concern, raising questions about its impact on the quality of care, staff well-being, and organisational resilience in these settings.

The reality of corridor care in social care

Corridor care usually begins when care home staff accompany residents to hospitals for urgent medical needs. Given the overburdened healthcare system, residents may find themselves waiting hours—sometimes an entire day—before receiving proper medical attention. During this time, a staff member from the care home often has to remain with the resident to provide emotional support, facilitate communication, and ensure their safety.

While this arrangement highlights the dedication of care home staff, it also introduces significant challenges:

  1. Staffing Shortages in Care Homes When a staff member accompanies a resident to a hospital, the care home is left one staff member short. For homes already operating with limited staff due to recruitment difficulties, sickness, or high turnover, this can severely strain operations. Remaining staff are forced to manage higher workloads, increasing the risk of burnout and reducing the overall quality of care for other residents.
  2. Resident Well-Being The absence of a staff member can disrupt the routine and personalized care residents rely on. Care homes often operate with a delicate balance of staff-to-resident ratios, and any disruption can lead to delays in attending to residents' needs, from assistance with mobility to administering medications.
  3. Emotional Impact on Staff Staff members accompanying residents to hospitals often experience stress, frustration, and exhaustion. Long hours spent waiting in crowded, high-pressure environments can take a toll on their mental well-being. This stress is compounded when they return to their care home to find an even greater workload awaiting them.
  4. Financial Strain on Care Homes Care homes are typically not reimbursed for the additional time and resources required for corridor care. Paying staff for extended hours or hiring temporary workers to cover gaps can strain already tight budgets, particularly in smaller care homes.

 Broader Implications for Social Care

The prevalence of corridor care exposes systemic issues in the healthcare and social care sectors. It reflects the lack of coordination between hospitals and care homes, inadequate funding for both sectors, and the growing demand for services as populations age. If left unaddressed, corridor care risks becoming a normalized aspect of care delivery, to the detriment of residents, staff, and organisations.

Strategies to Mitigate the Impact of Corridor Care

While the issue requires systemic solutions, care homes can adopt certain strategies to mitigate the impact:

Strengthening Staff Resilience

  • Providing training on stress management and crisis response can help staff cope with the demands of corridor care.
  • Flexible scheduling and offering mental health support can reduce the risk of burnout.

Collaborating with Healthcare Providers

  • Building stronger relationships with local hospitals can facilitate quicker admissions and discharges, minimizing wait times.
  • Establishing protocols for communication can ensure care continuity for residents during hospital visits.

Implementing Technology Solutions

  • Telehealth services can reduce the need for hospital visits by allowing residents to receive medical consultations remotely.
  • Digital care management systems can streamline workflows, enabling staff to allocate resources more efficiently.

Advocacy and Policy Reform

  • Care homes and industry leaders must advocate for increased funding and better integration between health and social care systems. Policies that recognize and address the challenges of corridor care are essential for long-term improvements.

Conclusion

Corridor care is more than just a hospital issue—it’s a significant challenge for care homes and the broader social care sector. The practice places undue strain on care home staff, compromises the quality of care, and highlights systemic shortcomings. To address these challenges, a coordinated effort between care homes, healthcare providers, and policymakers is essential. By prioritizing solutions that support staff, improve care quality, and bridge gaps between systems, we can work towards a more resilient and equitable care landscape.

 

Melissa Stanton

Melissa Stanton

Lead Nurse for Independent Health and Social Care, RCN North West

Lead Nurse for Independent Health and Social Care

Melissa started her career in the NHS before making a successful switch into the independent sector, rising to become a National Complex Care Manager for a well-known independent sector employer. She joined the RCN in 2022 as an Regional Officer in the North West before quickly taking the role of Lead Nurse for the IHSC sector for the region.  

Page last updated - 31/01/2025