What is the Enhanced Health in Care Homes (EHCH) Framework

What is the Enhanced Health in Care Homes (EHCH) Framework?


Care Learning

2 mins READ

The Enhanced Health in Care Homes (EHCH) framework is a significant component of the strategy to improve the health and well-being of residents in care homes.

Established as part of the NHS Long-Term Plan, the framework aims to deliver high-quality healthcare through collaborative and integrated services.


The EHCH framework is designed to ensure that residents of care homes receive proactive, personalised, and well-coordinated healthcare services.

The core idea is to bring together primary care, secondary care, community services, and social care to work as a single team, providing comprehensive and continuous support to care home residents.


  • Improve Quality of Life: Enhancing physical and mental health outcomes for care home residents.
  • Reduce Hospital Admissions: Minimising the need for unscheduled hospital visits and admissions by providing timely and effective care within the care home setting.
  • Personalised Care: Offering tailored healthcare plans that meet the individual needs and preferences of each resident.
  • Preventative Care: Focusing on prevention, early identification, and management of health conditions.

Core Elements

Enhanced Primary Care Support:

    • Provision of consistent medical support with designated General Practitioners (GPs) and healthcare professionals visiting care homes regularly.
    • Development of personalised care plans, medicine reviews, and regular health assessments.

    Multidisciplinary Team (MDT) Working:

      • Integration of various health and social care professionals, including doctors, nurses, physiotherapists, occupational therapists, nutritionists, and mental health specialists.
      • Regular MDT meetings to review resident health and ensure coordinated care delivery.

      Comprehensive Geriatric Assessments:

        • Detailed assessments which consider physical, mental, and social needs to create holistic care plans.

        Access to Out-of-Hours/Telehealth Support:

          • Ensuring residents have access to healthcare services outside of regular hours and through digital health solutions when needed.

          Close Links with Social Care:

            • Collaboration with social care providers to ensure residents’ social and emotional needs are met alongside their health requirements.
            • Coordination with local authorities and care home staff for seamless service delivery.

            Training and Development for Care Home Staff:

              • Ongoing education and training programs for care home staff to enhance their skills and knowledge in providing healthcare support.

              Pharmacy and Medication Reviews:

                • Regular medication reviews by pharmacists to ensure appropriate use and to minimise polypharmacy risks.


                • The framework is usually implemented through local Clinical Commissioning Groups (CCGs) and integrated care systems (ICSs).
                • It encourages the use of digital tools and data sharing to improve care coordination and efficiency.


                The EHCH framework is expected to:

                • Enhance the overall resident experience by providing dignified and compassionate care.
                • Improve health outcomes with reduced emergency hospital admissions and length of hospital stays.
                • Promote a more sustainable and efficient health and social care system through better resource utilisation.

                In summary, the Enhanced Health in Care Homes framework is a holistic, integrated approach intended to deliver better health outcomes for care home residents through a coordinated, multi-disciplinary model of care.

                How useful was this post?

                Click on a star to rate it!

                As you found this post useful...

                Follow us on social media!

                We are sorry that this post was not useful for you!

                Let us improve this post!

                Tell us how we can improve this post?

                You cannot copy content of this page