Home First

Home First is a new scheme for Kent that is helping patients in our hospitals get home sooner.

Coronavirus (COVID-19): Information about our service

This service is running as normal at the moment. Please see the details below.

Keep up-to-date with the latest information, read our page on Coronavirus.

Hundreds of patients across Kent are now receiving care at home who would normally have stayed in hospital, thanks to Home First.

Under Home First, hospital staff work closely with colleagues in the community and in social care to plan for a patient to return home from the first day they arrive.

Some patients, may not need any help when they get home, but for those who do, Home First teams are triggered into action on discharge to make sure the right support is in place.

What does the Home First Team do?

Patients are seen at home within hours and receive an assessment by a Home First Team, made up of community nurses, therapists and social care professionals. Every patient has a personal care plan and this may include therapy, goals, support for carers, any equipment they may need and self-help advice.

 

What if the patient needs more support before going home?

For patients who are unable to manage at home, short-term rehabilitation is provided in a community hospital. For example, in west Kent, patients are rehabilitated in an eight-bed therapy ward at Tonbridge Cottage Hospital.

Some people have complex needs and need longer-term care. We provide a robust assessment, before coming to a decision, with them and their families, to move them to longer-term residential care or continuing healthcare.

Where possible, we also assess patients in the community and provide appropriate care to avoid people going into the hospital at all.

 

Who is involved?

Home First relies on Kent Community Health NHS Foundation Trust, East Kent Hospitals University NHS Foundation Trust, Maidstone and Tunbridge Wells NHS Trust and Kent County Council, working more closely together, as well as involving our voluntary and community sector partners more effectively.

Lesley Strong, Chief Operating Officer and Deputy Chief Executive KCHFT, said: “When you are really sick, hospital is the best place you can be, but once you no longer need hospital care, you recover much faster at home.

“The longer someone spends in a hospital bed, the more muscle they lose and the weaker they can become, which makes it harder for them to regain their independence. so, as soon as they no longer need hospital care, we want to get them home.

“For patients who need short-term support, we know assessing them in their own environment is best to see how they are coping and what extra support they might need.

“By working closely together with our acute and social care colleagues and involving the support of our voluntary and community sector partners, we can make sure patients, families and carers are properly supported at home to help them or their loved one recover quickly. This scheme will also help to free up vital hospital beds for people who really need them.”

Janice Duff, Kent County Council’s Assistant Director for Older People and Physical Disability, said: “We have increase the support available from social care and are working closely with our colleagues in health to provide a seamless approach to getting people home and supporting them back to independence.”

Contact details

East Kent
0300 123 4415 (patients)
kcht.canterburyLRU@nhs.net

West Kent
0300 123 1644

For more useful contacts please see the Home First leaflets.

Your comments

April 2020
Home Treatment Service

Quick response, very thorough examination and discussion of the options. Very personable doctor and nurse.

April 2020
Intermediate Care - Tonbridge

(Staff name) is very friendly. I was explained things very clearly and received answeres to all my questions with added information. Bathroom was checked very carefully. It was good to have a conversation with (staff name). Good eye contact all the time.

April 2020
Intermediate Care - Coxheath

Unfortunately due to Corona virus crisis I was unable to receive ongoing physio at the Coxheath clinic, but appreciated the help I received. Very professional, helpful and answered fully all my questions.

April 2020
CNRT, Coxheath

I felt that everything was explained really well and with help from (staff name), I was able to do more. This gave me confidence with what I was doing and helped me with what I needed to do.

April 2020
Hospital @Home

I want to give my 100% appreciation for the support I received

March 2020

Staff are very good. Always inform and update. (Pathway 3)

March 2020
Coxheath

Kind and cheerful explaining and demonstrating equipment.Very helpful, posting literature and articles to read about disability. (Intermediate Care)

March 2020
West Kent

They explained everything clearly and made me feel at ease. Lovely doctors and nurses. (Home Treatment service)

March 2020
Maidstone

Daughter said it was a fantastic services. All nurses and doctors were amazing, giving very good advice. (Rapid Response)

March 2020
Coxheath

I came to the group very nervous and unsure, I always expected the worse but coming here I felt welcome. I found staff friendly and easy to approach. (Intermediate Care)

March 2020
West Kent

They made me feel safe and looked after. The care was excellent. Thank you Hospital at Home.

March 2020
Coxheath

(Staff name) Occupatianl Therapist has been absolutely marvellous in assisting us with my husband's replacement hospital bed. She arranged everything to make it as stress free as possible for him as he has no mobility at present.

February 2020
 Intermediate Care - Tonbridge

The team were very friendly and helpful - 10 out of 10 in my opinion.

February 2020
West Kent

This service is amazing. I felt as I was going backwards in hospital once, past the critical stage, and it has been so much easier to recover at home with peaceful sleep cooking my food etc being with family. The nurses were all excellent. So I felt very safe. I had very good communication with my consultant.

February 2020
Rapid Response Service - Maidstone

Survey completed with patient's husband. While RR nurses were visiting, the husband was taken unwell. Nurses helped and waited with his wife until he was taken to the hospital and ensured his wife that he was looked after.

February 2020
Intermediate Care - Tonbridge

(Staff name) was a real help and wealth of information. She was kind, encouraging and knowledgable. She treated me with respect and listened to my opinion. She is a real asset to you. Now I have what I need to keep me safe and well in my own home.

February 2020
CNRT - Coxheath, West Kent

I can't believe the care and attention I have received from(staff names).They continue to teach me every time I see them and they are helping me feel more confident with what I am doing. (Staff name) have really helped me get all the bits and pieces delivered.

January 2020
West Kent

Fantastic hard working team. Thank you so much. All your staff are kind and took a time to explain everything. The nurses and doctors are patient and proffessional, but also very kind. The staff who answer the phone are also so helpful and patient. Thank you for all the help and support you gave to our Mum and us as a family. It is a wonderful service. (Home Treatment Service)

January 2020
West Kent

Very helpful. Available to talk and listened when I rang. I found physio helpful to progress me from walking with zimmer frame to using one stick. I also want to thank (staff name) personally for her support. (Pathway 3)

January 2020
Sevenoaks

Attitiude and approach are very acceptable. (Community Neuro Rehab Team)

December 2019
West Kent

I am happy the way tings have gone and very grateful for what can only be described as an excellent service. (Hospital@Home)

December 2019
Tonbridge

(Staff name) - very helpful, very friendly. Supportive in getting all the necessary equipment for my mother who has had a hip fracture. (Intermediate Care)

December 2019
West Kent

Extremely kind and caring team. (Home Treatment)

December 2019
Sevenoaks

Everything has been dealt with in the questions here - I found everything very helpful and understanding. (CNRT)

December 2019
West Kent

Extremely competent, convenient friendly service. (Hospital@Home)

July 2019
Intermediate Care, Tonbridge

Very impressed with quality of staff.

July 2019
Intermediate Care, Coxheath

They have been very kind and considerate to me. Very, very helpful.

July 2019
Hospital@Home

I was treated with kindness and all the staff were helpful telling me what they were doing. Thank you for all your help.

July 2019
Home Treatment Service

My husband has needed your service on several occasions and has always been treated with great care and attention.

June 2019
Tonbridge and Malling

Information was excellent as was the service.

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