In 2014, the CCGs started to have a public dialogue about the model of care which would provide care closer to home. It had been noted that there was an overdependence on older people staying in adult intermediate rehabilitation beds for longer than necessary which was resulting in their deconditioning both physically and mentally. Point prevalence studies revealed that there were patients in hospital beds who didn’t need to be there and who would recover more quickly if they were cared for at home or in a place they called home i.e. a care home.
This principle of care could only be implemented once the patient had finished all required medical intervention in the hospital and so long as the social care package they required was in place. It was made clear during this engagement process that the consequence of implementing the proposed model would be fewer rehabilitation beds would be required.
Public consultation revealed that people were supportive of the model of care so long as additional support was in place.
This section of the website is a public record of the documents that were published during that time - My Care, My Way, Home First.
From November to December 2016, a further period of engagement was undertaken to describe the principles of Discharge to Assess, a nationally mandated model which was implemented from early 2017. A Track and Triage team at the University Hospital combined with the ‘Home First’ service provided by Staffordshire and Stoke on Trent Partnerhsip NHS Trust meant patients were able to be discharged from hospital as soon as they were medically fit to do so.
In order to implement the model, significant investment was made by the CCGs and social care, through additional CCG funding and the Better Care Fund, to make sure that appropriate community care services were in place. This meant that community hospital beds were temporarily closed. No decisions about the long term future of the beds were made and the implementation of the model was under constant review. It was paramount during this period that patient safety would not be compromised.
This section of the website is a public record of the engagement activity that was undertaken during that time - My Care, My Way, Home First Phase 2.