Home First

Fab Change DayDoathon Report

What is the issue?We thought about how to address one of the toughest problems NHS and social care is facing. How to get people back to their own homes faster and safer and keep them there.

• Home First is a way of thinking. If we can start to think ‘Home First’ then our actions follow in a different way.

• There are plenty of great examples in daily use – but they are not easily collected and copied.

• The language that we use in health and social care is not always patient-friendly. ‘Delayed transfers, awaiting assessment’ and so-on.

• This needs to be realised at the front-line a grass roots inspired movement – top down mandate won’t work.

• Asking clinicians, therapists and social workers ‘how could we’ is often overlooked.

flickr / zeevveez

Our Quick win DOs

flickr / pnoeric

• Visit the Academy of Fabulous Stuff web-site to see a raft of Home First initiatives already in daily practice. What can you copy, what can you do better? Have a look…Developing a home first mindsetIndividualising pathway re-enablement

• Challenge the language. Make a personal decision to say “conversation” rather than “assessment” for example. Try “expected” not “estimated”.

• Visit the DH website to get Quick Guides such as Better Use of Care At Home

Our longer term DOs

flickr / atoach

• Therapists first – arrange a meeting of therapists from your local health economy and ask them what works to get people home. What to improve. With them, develop a 30 day action plan. Here’s an idea you can use.

• Start a conversation about sharing patient records and data within your health economy. Identify the log jams between services and create local, workable solutions to smash them. Here’s how to start.

• Create MDT case study meetings and joint working initiatives. Formalise dates and agendas. Make it part of the working month.

• Be the Pioneer!

Now: take action• Share with friends on social media:

post a link on Facebook or Twitter• Share with colleagues: do a

presentation • Be part of the conversation, use

the #HomeFirst and #hellothisisme hashtags to keep the conversation going.

• Contact us and let us know what you’ve done on the Fab Change Day website.

Get more information and inspiration at https://fabnhsstuff.net/

flickr / juliedecaluwe