#Doathon Report Home First

1. Home First
Fab Change Day
Doathon Report

2. 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

3. 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 mindset
Individualising 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

4. 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!

5. 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