ICU setup installed in a patient's room at home with monitor and oxygen

Critical care at home

ICU Setup at Home

A full home ICU installed in your own room: ICU bed, ventilator or BiPAP, oxygen, monitor and infusion pumps, run by ICU-trained nurses around the clock. Equipment is chosen by clinical assessment, never sold as a fixed package.

  • ICU-trained nurses, 12-hour shifts
  • Equipment supplied on rent
  • Respiratory therapist and physiotherapy
  • Assessment before anything is installed

Book an ICU setup assessment

Free assessment. We will tell you honestly if the patient should stay in hospital.

Quick answer

What is an ICU setup at home?

An ICU setup at home is a critical care environment installed in the patient's own room and run by ICU-trained nurses. It normally comprises an ICU bed, breathing support such as a ventilator or BiPAP, oxygen from a concentrator or cylinder, a multipara monitor, infusion and syringe pumps, a suction machine, a DVT pump and an alpha air mattress. The equipment is chosen by clinical assessment rather than sold as a fixed package.

Who runs it

Two ICU-trained nurses on 12-hour shifts, with nursing assistants

Suits

Long-stay patients where no active hospital intervention is expected

Also called

Home ICU, ICU care at home, ICU facility at home, critical care at home

What goes into a home ICU setup

An ICU at home is not one product but a set of devices, and not every patient needs all of them. The assessment decides which are installed, and most families already own one or two. Anything you do not have can be taken on rent rather than bought.

Ventilator

Breathes for a patient who cannot breathe adequately on their own. Always operated by an ICU-trained nurse, never by the family.

Critical level · ventilator-dependent patients

BiPAP machine

Non-invasive breathing support at two pressure levels, one for breathing in and a lower one for breathing out. No tube into the airway.

BiPAP on rent · COPD · sleep apnoea

Oxygen concentrator

Pulls oxygen out of room air, so it never runs empty and needs only a power point. The usual choice for continuous long-term oxygen.

Concentrator on rent · low-flow oxygen

Oxygen cylinder

Stored oxygen for higher flow rates than a concentrator manages, and the backup every home ICU needs against a power cut.

Cylinders on rent · high-flow · backup

Multipara monitor

Shows heart rate, blood pressure, oxygen saturation, respiration and temperature continuously, with alarms set to the patient's own thresholds.

Continuous vitals monitoring · alarm limits

Infusion & syringe pumps

Deliver fluids and drugs at an exact rate instead of by gravity drip, which matters where the dose has to be precise over hours.

Controlled infusion · all three levels

Suction machine

Clears secretions from the airway. Not optional for a tracheostomy or ventilated patient, and used many times a day.

Tracheostomy care · airway clearance

ICU hospital bed

Height, backrest and knee adjustment with side rails, so one nurse can turn, sit up and transfer a patient without hurting either of them.

Hospital beds on rent · electric or manual

Alpha air mattress

Cells inflate and deflate in cycles so the pressure points keep moving. The single most effective thing against bedsores in an immobile patient.

Bedsore prevention · immobile patients

DVT pump

Squeezes the calves in a cycle to keep blood moving, which is how you prevent a clot forming in a patient who has not walked for weeks.

Deep vein thrombosis prevention

Nebuliser

Turns liquid medicine into a mist the patient breathes in, so it reaches the lungs directly rather than going through the stomach.

Asthma · COPD · chest infections

Renting rather than buying

Most of this is taken on monthly rent, which is why a home setup is reachable at all. See the full equipment list.

Equipment on rent

Home ICU and hospital ICU: what is actually different

Worth being precise about, because the phrase "ICU at home" leads people to expect a hospital ICU relocated. It is not that, and the differences run in both directions.

Attribute comparison of an ICU setup at home and a hospital ICU
  ICU setup at home Hospital ICU
Nurse to patient ratioOne to one, the whole shiftTypically one nurse to two or more beds
Doctor on the premisesNo, your treating doctor is contactedIntensivist on duty
Emergency responseAmbulance, so minutes awayCrash team, seconds away
Dialysis, imaging, surgeryNot availableOn site
Hospital-acquired infectionLow, no shared wardA known ward risk
Family presenceUnrestrictedVisiting hours
Best suited toLong-stay patients, stable, no intervention expectedAnyone who may need intervention

When a home ICU is not the right choice

We turn down cases, and it is worth explaining which ones, because an agency that says yes to everything is not being kind to you. A home setup is safe for stable patients on a long recovery. It is dangerous for anyone who may need something a hospital has and a flat does not.

Home ICU suits

Stable, long-stay, no intervention expected

  • Ventilator-dependent but otherwise settled
  • Long recovery after a stroke or head injury
  • Tracheostomy patients needing regular suction
  • Weaning off a ventilator gradually
  • Comfort and palliative care at the end of life
  • Families told the hospital can do no more actively

Stay in hospital if

We will say so rather than take the booking

  • Vitals are still swinging and being corrected
  • Ventilator settings are still being adjusted often
  • Dialysis is needed, or may become needed
  • Surgery is on the table, or a bleed is possible
  • An active infection is not yet controlled
  • The treating doctor has not agreed to a discharge

The decision is your treating doctor's, not ours and not yours alone. We will not install a setup against medical advice, and where a case sits on the line we would rather you spent another week in hospital than moved too early.

Three levels of home ICU care

Which level applies is decided by clinical assessment against the patient's condition, not chosen from a menu.

Critical

Unstable, ventilator dependent

Condition
GCS 8 or less · vitals unstable · mobility restricted · ventilation dependent
Equipment
Ventilator, infusion pumps, DVT pump, plus whatever the assessment adds
Team
2 ICU-trained nurses at 12 hours each, 2 nursing assistants, physiotherapist as advised, respiratory therapist 1 to 2 visits a week
Also included
ICU consumables, weekly clinical quality audit, home visit reports, e-monitoring

Step-down

Moving from critical towards stable

Condition
Coming off critical support, not yet at supportive level
Equipment
BiPAP, infusion pumps, DVT pump, plus whatever the assessment adds
Team
2 ICU-trained nurses at 12 hours each, 2 nursing assistants, physiotherapist as advised, respiratory therapist 1 to 2 visits a week
Also included
ICU consumables, weekly clinical quality audit, home visit report, e-monitoring

Supportive

Stable, mobility restricted

Condition
GCS 10 or more · vitals stable · mobility restricted
Equipment
Oxygen concentrator, plus whatever the assessment adds
Team
2 ICU-trained nurses at 12 hours each, 2 nursing assistants, physiotherapist as advised, respiratory therapist 1 to 2 visits a week
Also included
Weekly clinical quality audit, home visit reports, e-monitoring

What decides the cost of an ICU setup at home

No two setups cost the same, because no two patients need the same equipment for the same length of time. These are the four things that actually move the number, so you can work out roughly where your case sits before you ring anyone.

1. Which level the patient needs

A ventilator setup and an oxygen concentrator setup are not in the same range. The Critical level carries the most equipment, Supportive the least.

2. What you already own

Plenty of families already have a hospital bed or a concentrator from an earlier illness. You rent only what is missing, and we will tell you if what you own is usable.

3. How many nursing hours

Round-the-clock cover is two nurses rotating. Some step-down and supportive patients manage on a single 12-hour shift with family overnight.

4. How long it runs

Equipment on a monthly rental works out lower per day than a weekly one. Setups measured in months are priced differently from a two-week bridge after a discharge.

You get the whole figure before anything is installed

Equipment rental, nursing and consumables quoted together after the assessment, so there is no second conversation about money once the bed is in the room.

Home care charges

How the setup happens, and what the room needs

Getting an ICU set up at home takes a few hours to install. What takes the time is the assessment and preparing the room, so start it two or three days before a planned discharge.

  1. 1

    Clinical assessment

    We review the discharge summary and speak to the treating doctor to fix the level and the equipment list.

  2. 2

    Room survey

    Someone visits to check power, space and access, and tells you what has to be moved or changed.

  3. 3

    Install and test

    Equipment delivered, assembled and tested, alarm limits set to the patient, before the patient arrives home.

  4. 4

    Nursing starts

    The first nurse takes handover from the hospital team, and shift-to-shift handover runs from there.

What the room needs

Size
Around ten by twelve feet or larger, ideally with a window and an attached bathroom
Power
A dedicated earthed point, and a backup such as an inverter. A ventilator cannot be left to a power cut
Access
Clear space on three sides of the bed so a nurse can turn and transfer the patient
Rest space
Somewhere for the off-duty nurse, and room for equipment trolleys

Where we provide ICU setup at home

Open your city for local coverage, hospital discharge support and how installation works there.

Frequently asked questions

What is an ICU setup at home?

An ICU setup at home is a critical care environment installed in the patient's own room and run by ICU-trained nurses. It normally comprises an ICU bed, breathing support such as a ventilator or BiPAP, oxygen from a concentrator or cylinder, a multipara monitor, infusion and syringe pumps, a suction machine, a DVT pump and an alpha air mattress. Equipment is chosen by clinical assessment, not sold as a fixed package. It suits long-stay patients who are stable enough that no active hospital intervention is expected.

What equipment is needed for a home ICU setup?

A typical home ICU uses an ICU hospital bed with side rails, an alpha air mattress against bedsores, oxygen from a concentrator or cylinder, a ventilator for ventilator-dependent patients or a BiPAP for non-invasive support, a multipara monitor for heart rate, blood pressure, oxygen saturation, respiration and temperature, infusion and syringe pumps for controlled drug delivery, a suction machine for airway clearance, a DVT pump against clots and a nebuliser. A patient at the supportive level may need only an oxygen concentrator and a bed.

Is a home ICU as good as a hospital ICU?

No, and it is not meant to be. A home ICU has no intensivist on the premises, no crash team seconds away, no dialysis, no imaging, no operating theatre and no blood bank. It suits patients who are stable enough that no active intervention is expected, typically long-stay recovery, ventilator-dependent patients who are otherwise settled, and end-of-life comfort care. What it offers instead is one-to-one nursing, no hospital-acquired infection risk from a shared ward, and familiar surroundings. A patient who may need emergency intervention belongs in a hospital.

Who operates the equipment in a home ICU?

ICU-trained nurses, working two 12-hour shifts so somebody is present around the clock, supported by nursing assistants. A respiratory therapist visits one to two times a week where breathing support is in use, and a physiotherapist attends as the treating physician advises. Family members are never expected to operate a ventilator, a monitor or an infusion pump.

What decides the cost of an ICU setup at home?

Four things mainly. Which care level the patient needs, since a ventilator setup costs more than an oxygen concentrator. Which equipment is rented, as families who already own a bed or concentrator pay only for the rest. How many nursing hours are needed, whether 12-hour or round-the-clock cover. And how long the setup runs, because monthly equipment rental works out lower per day than weekly. Consumables are billed as used. A full quote is given after the assessment and before anything is installed.

How long does it take to install a home ICU?

Installation itself is usually a few hours once the assessment is done and the equipment is confirmed. What sets the timeline is the clinical assessment beforehand and the room preparation, which needs a stable power point, space around the bed on three sides for nursing access, and somewhere for the off-duty nurse to rest. Where a discharge is planned, starting the assessment two or three days ahead means the room is ready when the patient arrives.

What does the room need before a home ICU is installed?

A room of roughly ten by twelve feet or larger, ideally with a window and an attached bathroom. A dedicated earthed power point, and a backup arrangement such as an inverter, because a ventilator and a concentrator cannot be left to a power cut. Clear access on three sides of the bed so a nurse can turn and transfer the patient. Space for equipment trolleys, and somewhere for the off-duty nurse to rest. We check all of this at the assessment and tell you what needs changing.

Can you set up a home ICU for a ventilator-dependent patient?

Yes, that is the Critical level: a ventilator, infusion pumps and a DVT pump with two ICU-trained nurses on 12-hour shifts and a respiratory therapist visiting weekly. It applies to patients with GCS 8 or less, unstable vitals, restricted mobility and ventilator dependence. It requires the treating doctor's agreement that home care is appropriate, and a backup power arrangement is not optional at this level.

Related services

Book an ICU setup assessment

Send the discharge summary and what the treating doctor has advised. We will tell you which level applies, what the room needs, and honestly whether the patient should stay in hospital.