NOSPI Programme: A new era for home care in the National Health System

NOSPI — the “Hospital Care at Home” Programme — is one of the most important reform initiatives of the Ministry of Health for the National Health System. Its core principle is simple: services that until now required hospitalisation in a hospital bed can, under certain conditions, be provided safely in the patient’s home.

The programme is implemented through Reference Centres being developed in hospitals across the country and covers three pillars: home nursing care for children, home nursing care for adults and home support for oncology patients. Patients are monitored by a multidisciplinary team based on a clinical protocol, using telemedicine, teleconsultation and digital devices for recording vital signs. Services are provided free of charge to the patient, and a Patient Registry for the programme is also planned.

The benefit is twofold. For patients and their families, it means care in a familiar environment, fewer journeys and a lower risk of hospital-acquired infections. For the health system, it means freeing up hospital beds and more rational management of resources.

This transition, however, is not only clinical — it is also technological. When the point of care moves from the hospital to the home, the equipment must be ready to use, users must be familiar with the tools and support must be immediate.

This is precisely where Datamed’s contribution to NOSPI lies:

• Equipment and software setup — installation and configuration of the devices used by the programme teams, so that they are fully operational from the first day of production use.
• Staff training — targeted programmes for the medical, nursing and administrative staff involved in NOSPI, tailored to the actual workflows of home care.
• Technical support — ongoing user support, with incident handling procedures proportionate to the clinical criticality of the service.

With many years of experience in computerising public and military hospitals, Datamed contributes at the critical point of every digital health project: the transition from design to day-to-day operation.