Home First Initiative: Enhancing Care for Older Patients
"Learn about the Home First initiative in Swale, a sustainable model of care emphasizing regaining function near home. Understand key principles, partner network, and shocking facts on immobility. Discover how the initiative aims to reduce hospital stays for older patients and promote timely discharges with community support."
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Home First -Swale A sustainable long term model of care in Swale Kim Hellyer Service Manager 6/7/16
Key Principles Own Bed is Best H&SC rehab and enablement working collaboratively on shared pathways Regain optimum function quickly and as near to home as possible Promote & support self management Resources to support community based wrap around services, assessment and therapies Empower to make life decisions; access to a range of options Improved outcomes for people Positive engagement with SUs and carers Information and support to ensure agreement Improvements in efficiency and patient flow from hospitals Single contact number, clearly defined pathways
Who are our key partners? GP s (multi disciplinary clusters around GP practices), links to iPCT s Community resources/social integration/helping to reduce social isolation Voluntary organisations/carers groups Equipment delivery, transport, pharmacy . Care Navigators Home improvement agencies, (H&S checks, adaptations, man with a van etc..)
Shocking facts on the effect of immobility for older people. 10 days of bed rest leads to a 14% reduction in leg and hip muscle strength and a 12% reduction in aerobic capacity: the equivalent of 10 years of life. Studies have found a faster reduction in muscle strength; as much as 5% per day. Older people s ability to perform everyday activities can reduce while in hospital. One study found that 12% of patients aged 70 and over saw a decline in their ability to undertake key daily activities (bathing, dressing, eating, moving around and toileting) between admission and discharge from hospital, and the extent of decline increased with age.
Home First is a multi-agency partnership initiative working across the whole health and social care system to reduce unnecessarily prolonged lengths of stay in an acute hospital. Home First initiative will facilitate more timely and effective hospital discharges, achieved by the community providing holistic assessment, equipment and on-going enablement and support in the patient s own home or intermediate care facility.
National Audit Office Report 26 May 2016. Discharging Older Patients From Hospital: Hospitals should identify the needs of older patients as quickly as possible to decide whether they are best met in hospital. where an older patient needs to be admitted, health and social care staff should work together to maintain the momentum of treatment and discharge planning. Health and social care staff should start the assessment and rehabilitation of patients as soon after admission as possible and in the home wherever possible.
Home First in Swale Swale is working closely with Medway Council & CCG and Medway Hospital to get consistency in the discharge process prior to discharge. Swale is working with the University of Kent & as part of a four year European project SUSTAIN. KCC already have in place a very successful Enablement service, and we work closely with health colleagues. Swale is extremely fortunate to have Staying Put as a key partner in the Home First work stream, which is not the case in other areas, but makes a significant difference to achieving quick & safe discharges.
