WHAH Webinar: Nurses as the Main Workforce for Hospital at Home

Nurses are undoubtedly the main workforce for Hospital at Home programs. Maintaining a high standard of care entails investing in their education from induction to HaH to competences, and continuously fostering their ongoing development. Watch the recording of our webinar around training, mentorship, and education for HaH nurses.



Leanne Marshall-Wood

Leanne is a Senior Improvement Advisor within the Improving Access portfolio. She has been working in quality improvement-focused roles in NHS Scotland since 2013 when she worked as part of the team delivering the National Scottish Patient Safety Programme. She has worked in both national organizations and territorial health boards, including as a Clinical Improvement Coordinator within NHSGGC, where she gained further perspective around delivering improvements with front-line teams. Since returning to Healthcare Improvement Scotland, she has worked on national programs, for example improving the lives of those living with frailty, before moving to support the expansion of Hospital at Home in May 2020.

Karin A. Falkenberg

Karin Falkenberg is an experienced nursing leader with a passion for team building, innovation, and patient centered care. Karin is the Executive Director of Nursing and Patient Services, at MGB Healthcare at Home. Karin partners closely with amazing team of dedicated professionals, fully committed to changing the landscape of healthcare.  As an Executive Director of Nursing and Patient Services, Karin oversees the clinical operations and build of several service lines, in partnership with her team. Bringing excellence in patient care home, through the development of an innovative integrated paramedicine and nursing model, is a major concentration for the team.   Karin is currently pursuing her DNP in Executive Nursing Leadership, at the MGH Institute of Healthcare Professionals, graduating in 12/24. She is also an active member of Organization of Nurse Leaders and the Emergency Nurses Association.

Angela Ellis

Dr Angela Ellis is a Registered Nurse with many years of experience in various health sectors, private and public. She is passionate about HITH nursing putting forward ideas and innovations for developing the future of HITH nursing. She is a HITH Board Director, influencing the direction of HITH nursing by writing a guiding principle/position statement regarding HITH nursing core competencies. Angela is on the HITH Society of Australasia conference committee, and she successfully Chaired the 2018 HITH conference in Brisbane.   Angela’s thesis topic for the Doctor of Philosophy award was ‘The role and scope of HITH registered nurses’, with articles for submission to the Collegian Journal. Angela is also an Australian College of Nursing Policy Fellow contributing to position statements, ‘Nurses caring for people experiencing domestic violence’ (currently on hold) and the ‘Role of the Enrolled Nurse in Aged Care’ that is being revamped. Dr Ellis is part of the CAN policy writing team for Scope of Practice following the ‘Strong Model’.

Karen Titchener

Karen Titchener has more than 20 years’ experience developing and implementing Hospital-at-Home (HaH) programs in both urban and rural settings for the UK’s NHS and five years’ experience creating and growing one of the nation’s first Oncology Specialty Care at Home programs for the University of Utah’s Huntsman Cancer Institute. Currently, she is the Vice President of Hospital at Home Operations for Maribel Health, a General Catalyst-backed company created to make the home the center of the health system. Maribel was created to enable forward-thinking health systems to lead as care transitions to the home, leveraging a platform with dual capabilities for home-based care operations and associated software and technology. Titchener is a widely recognized national and international expert on HaH program development, operations, growth, and optimization and has personally managed more than 15,000 HaH admissions. Her largest program operated in London with more than 85 staff and more than 3,000 annual patient admissions. Titchener’s oncology at-home program demonstrated reduced hospitalizations, lower length-of-stay, reduced ED utilization, and lower costs. In 2016, Titchener received the Winston Churchill Fellowship which enabled her to study the HaH programs in Australia and New Zealand. She has numerous peer-reviewed publications, including a recent publication in the Journal of Clinical Oncology demonstrating improved patient outcomes for Huntsman’s Oncology HaH program. She was a founding member of the UK Hospital at Home Society where she now serves as the secretary. Titchener routinely speaks nationally and internationally on all topics related to HaH and complex care in the home generally.

Deborah Toal

I currently work as an Advanced Nurse Practitioner in Acute Care at Home (AC@H), a Hospital at Home Team in the Southern Trust, Northern Ireland. I have worked in the team as a senior nurse since 2015. I graduated in 2007 from Queens University Belfast, returning a few years later to complete an MSc in leadership and professional practice. I have a range of experience including surgical nursing and clinical research. I had the opportunity to return to education in 2019 and complete an MSc in Advanced Nursing Practice. I live at home in County Armagh with my Partner and 5 children.

Alexandra Pennell

The at-home service covers the boroughs of Lambeth and Southwark in London. Our team has been established for ten years, and our multidisciplinary team has approximately 160 staff.  I have been nursing for over 14 years; my career has predominantly been in the Emergency Department. Following this, I was a matron in acute medicine and interim ward manager roles during the COVID-19 pandemic.