The Home from Hospital Service
Information and Wellbeing in Advice Later Life Befriending / Wills, Benefits, Money (Active Ageing) Volunteering Lunch Clubs / Matters In Care Community Activities Homes Home From Help at Nutrition and Enhanced Home Hydration Hospital (£22/hour) Day Care Service Foot Care Falls Prevention Strength and Balance, Tai Chi, Chair Based Cleaning and Wheelchair Hire Exercises Shopping Service (£15.50/hour) Farnworth Learning and Activities Centre Tea Dances, Choir, Keyboard classes, Arts and Crafts, Computer skills, Table Tennis
Home from Hospital Service Developed in partnership with Bolton NHS Foundation Trust Hospital, to help older people make a safe discharge from hospital and to prevent readmission WHY IS THE SERVICE NEEDED? - Rising hospital admissions - Two thirds of people admitted to hospital are over 65 years - Older people stay in longer once admitted - 80% of delayed discharges are in the over 70’s - Many readmissions are avoidable - Re-admissions in 30 days cost NHS £2.2 billion From April 2017- March 2018 - 600 Clients were supported - 3255 Support Visits were made - 5.3% readmission of clients (against 10% average Bolton readmission rate in over 65’s)
About the Team Our office is at the Royal Bolton Hospital (Between C and D block) There are eight members of the team covering the Bolton area between 9am -9pm, 7 days a week Staff share a wealth of experience with backgrounds in e.g. Nursing, Primary Care management, and Community Care management.
Home from Hospital Referral Criteria - 65+ years of age - Living alone ( OR a carer for someone ) - A Bolton Resident - Recent hospital stay or visit to A&E Who can refer? - Self, friends or family - Any hospital or community worker (Physios, Occupational Therapists, Social workers, G.Ps, Nurses, Early Intervention Team, Home First etc.
What We Do Taking to Preparing light appointments meals Picking up prescri p tions Sorting out mail Organising Encouragement dossette boxes Reducing Shopping Light house social work isolation
COMMUNITY MEALS SOCIAL SERVICES INTERMEDIATE CARE AT HOME ADMISSIONS RING AND RIDE / AVOIDANCE BLUE BADGES INDEPENDENT GREATER LIVING MANCHESTER FIRE SERVICES SIGNPOSTING CARELINE / TELECARE BEFRIENDING CARER’S SUPPORT AGE UK INFORMATION BOLTON AND ADVICE SERVICES
Home from Hospital Service Mr G is a 76 year old bachelor who lives alone in a 3 bedroomed house; he sees his elderly sister occasionally. He admits to being socially isolated and having feelings of loneliness. Until recently he drove his car locally and was able to do most daily tasks. He suffers from Parkinson’s disease and osteoporosis which has led to a quite marked curvature of his spine. In November 2018 he had a fall at home and following a short hospital stay he was discharged home with a Zimmer frame and some community therapy. A referral was made to the HfH team and an assessment was carried out. It was apparent that he had some considerable unmet needs. How we supported Mr G: - Attendance Allowance Application Needless to say Mr G has - Befriending Visits a safer and brighter future - Community Visits to Dominoes and Scrabble to look forward to. - Wiltshire Farm Foods - Care Line - Ring & Ride
Thank You From the team: Heather Crook – Operations Director Pip Edwards – Team Manager Kirsty Walsh – Team Leader Anne-Marie Miller – Coordinator Hazel Howarth – Coordinator Lisa Jones – Coordinator Tracy Harrison – Coordinator Contact Details : Hospital Office: 01204 390390 ext. 3520 Farnworth Centre 01204 701525 The Square(Head Office) 01204 382411
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