Technology in Domiciliary Care: Digital Social Care Records, Remote Monitoring and the Future of Care

The rise of digital social care records

Digital transformation is a hot topic in home care. Traditional paper‑based systems are inefficient and prone to errors, but switching to digital can seem daunting. Over 70 % of care providers in England have now adopted digital social care record (DSCR) solutions. These platforms allow carers to record notes on a smartphone or tablet during visits, updating care plans in real time. Information is stored securely in the cloud, improving accuracy and enabling managers to audit visits and manage compliance easily. The government is encouraging adoption: the digitising social care programme aims to connect DSCRs with NHS data via GP Connect, giving care staff access to vital medical information, such as medication changes and hospital discharge summaries.

Interoperability and standards

As more providers digitise, the next challenge is interoperability—ensuring that different systems can communicate with one another and with NHS systems. The government plans to develop data standards and a national framework for care technologies. Standards will give providers confidence that the systems they invest in will remain compatible and secure. Providers should look for software that adheres to these emerging standards and offers straightforward integration with other health‑care systems.

The role of assistive technologies

Beyond record‑keeping, assistive technologies are transforming how care is delivered. More than 1.7 million people in the UK already use assistive technologies such as fall detectors, medication dispensers, smart speakers and environmental sensors. These devices help people manage their own health, alert carers to issues, and provide reassurance to families. For example, motion sensors can detect if someone has not got out of bed by a certain time, triggering a welfare check. Smart medication dispensers remind users to take pills and alert carers if a dose is missed. With the right setup, older people can live independently for longer.

Remote monitoring and telehealth

Telehealth and remote monitoring expanded rapidly during the COVID‑19 pandemic and remain popular. In England, remote monitoring programmes have supported over 487 000 people at home, and the NHS believes a further half a million could benefit. Patients use devices such as blood‑pressure cuffs, pulse oximeters and temperature sensors to record vital signs. These readings are transmitted to clinicians or care teams, allowing early intervention if readings fall outside preset parameters. Remote monitoring is particularly useful for managing long‑term conditions like chronic obstructive pulmonary disease (COPD), heart failure and diabetes. By catching deterioration early, remote care reduces hospital admissions and frees up NHS capacity.

Telehealth also encompasses video consultations. For domiciliary care providers, video calls allow carers to connect with nurses or GPs for advice during a visit, and family members can join consultations remotely. This reduces the need for GP home visits and ensures swift adjustments to care plans. Many older adults previously considered “digitally excluded” have embraced smartphones and tablets, particularly when devices are configured with simple interfaces.

Predictive analytics and artificial intelligence

Looking ahead, digital records and remote monitoring generate large amounts of data. Some providers are exploring artificial intelligence (AI) and predictive analytics to analyse patterns in this data. For example, if a client’s hydration levels drop and activity declines, algorithms could flag an increased risk of urinary tract infection. The Person Centred Software blog notes that with more than 70 % of providers using DSCRs, integrating AI is the natural next step; such analytics could help prevent crises, improve outcomes and support proactive care. These innovations must be implemented carefully to respect privacy, avoid bias and complement rather than replace human judgement.

Challenges and considerations

While digital technologies promise many benefits, providers and clients must consider potential challenges. Data protection is paramount; providers must comply with UK GDPR and the Data Protection Act. Staff need training to use new systems effectively; a poorly implemented system can be more disruptive than helpful. Older clients may feel uncomfortable using digital devices. Providers should offer simple, intuitive interfaces and provide training for clients and carers. Importantly, technology should enhance personal care, not replace human interaction.

Empowering clients and families

From a client’s perspective, digital tools can increase transparency and give families peace of mind. Some systems allow family members to log in and view notes, so they can see when carers visited and what tasks were performed. This feature helps families feel involved and informed without needing daily phone calls. As the sector becomes more digital, clients should ask prospective providers about their technology solutions, data security, and how they ensure technology complements compassionate care.