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Medway's Home First scheme is proving to be a great success

11 October 2017

Patients are being provided with more health support outside of hospital than ever before.

We have worked closely with NHS Medway CCG to reduce patients’ length of stay in hospital by commissioning specialist health care outside of the hospital. Subsequently the waiting time on transfer of care has seen a significant reduction in Medway.

Patients who no longer need acute care but require some additional support at home are discharged under the Home First scheme. The scheme, which was trialled between April and October 2016 and has since been fully implemented across Medway, allows patients to continue their recovery in the comfort of their own home with the additional support they may need, such as preparing meals. Patients who have completed their medical treatment but are not fully fit to go home will have their care and reablement transferred to a specialist community facility. This subsequently frees up beds at Medway Maritime Hospital for those most in need of hospital care and ensures people are being supported throughout their care.

In 2015/16 and 2016/17, the average number of days per month patients stayed in hospital for longer than required was 774 days. The most recent data shows the average monthly number of bed days lost has been reduced to 475 days.

Residents provided with specialist support

Cllr David Brake, Portfolio Holder for Adults’ Services, said: “The council has worked closely with Medway CCG and Medway NHS Trust to reduce delays in patients being transferred to more suitable care outside of hospitals, and wherever possible we want this to be their own home. Together, we work closely with the patient and their family to identify their care needs early on and ensure support continues to be provided when they leave hospital. This close working is proving to be a great success; however we will not become complacent and we will continue to ensure every resident who requires specialist care receives the support they deserve.”