Home from Hospital service
We know that older people returning home from hospital without enough support are more than twice as likely to be readmitted within three months. But this can be avoided. With the right support, improvements in cognition and physical function can be achieved. Our Home from Hospital service targets and prioritises at-risk people who are 75 years of age or over, living alone, with a carer or co-caring, with limited or no social support or social care.
What we do
Our service helps Trusts meet NICE guidelines on safe patient discharge from hospital, providing practical and social support for people returning home from hospital after illness, surgery or accident. Friendly, encouraging support from a volunteer at this time can make all the difference to restoring essential self-confidence, leading to improved health and well-being and reducing readmissions.
The service includes:
Welcome Home pack This includes key contact information all in one place – it's reassuring to know it's there, and makes it easier to call their GP, Royal Voluntary Service or other support if needed. There's also a food hamper, with information on nutrition and hydration and recipe cards.
Safe and Well check Assessing any risks at the home like cold, damp or danger of falls.
Actively signpost We liaise with local partner organisations to help get adaptations made, benefits sorted and so on.
- Individual Resilience Package We'll make a plan together, agreeing a goal – it might be 'walk around the block' for example. Then support could include assisted shopping, help getting back to visiting social clubs or friends, group or one-to-one Move It Or Lose It! exercise sessions, and encouragement on good nutrition and hydration.
How it makes a difference
Those benefitting from the Home from Hospital service feel more confident, with improved levels of social contact and better health. They feel generally happier. In terms of cost benefit, 30 day readmission rates have been reduced in pilots. Only 9% of the vulnerable group aged 85 or over were readmitted, compared to the national average of 15% for over 75s.
"It’s just a simple thing but it helps to build your self–esteem and confidence."
Joyce Mee, age 78, Home from Hospital Client
Working with Leicester City Care Commissioning Group
Many residents within Leicestershire are over 65 years of age, living alone, with limited or no social support locally, rendering them vulnerable and in a greater need of health and social care. Increasing hospital strain and social isolation are issues that particularly impact the county, and have been recognised by Leicester City Clinical Commissioning Group.
Talk to us
We're always happy to share our experiences and discuss new ways we could work together in partnership in the NHS and in the community.
Get in touch