Teresa Howarth from Stepping Home in East Suffolk, shares news on preventive measures, which will in the long run save time and money.

1. Stepping Home –East Suffolk

2. Stepping Home – origins and partners
• Warm Homes Healthy People
• Energy Focussed
• Community links
• Health partnerships
• Busy staff
• More than just heating
• No accurate records
• NHS Hospital Trusts
• CCG
• Suffolk Public Health
• ACS
• REACT
• Community teams
• GP surgeries

3. Stepping
Home –East
Suffolk
Stepping Home
provides two
main services to
medically fit
patients
leaving, or
facing
admission to
Hospital:
1.The
Stepping
Home Co-
Ordinator
2.A halfway
home hub

4. Stepping
Home –East
Suffolk
226 Referrals in 15 months
Biggest referrers are:
1. Adult & Community
services
2. Hospital Staff
3. REACT (admission
avoidance community
team)

5. Stepping
Home –East
Suffolk

6. Stepping
Home –East
Suffolk
Estimated bed days saved
from temporary
accommodation alone :
486
Estimated saving to NHS (assuming
average bed day cost of £250)
£121,500

7. Stepping
Home –East
Suffolk

8. Stepping
Home –East
Suffolk
Service costs £5,600 per month.
Salary with mileage and on costs £3300 per
month
Patient solutions Average £600 per month
Accommodation (2 units) £1500
System Savings based on earlier discharge (bed
days) to end of Nov, £16,770 per month.
Excludes any savings linked to reduced
deconditioning, reduced chance of re-admission
due to whole house solutions on discharge etc.
Cost Vs Benefits

9. ML is a 73-year-old who had been in hospital for 8 weeks and was unable to return
home due to the excessive hoarding and clutter in his home,
ML had to be lifted by the fire brigade out of his bedroom window due to the lack of
access through his front door and stair well.
No working wash facilities or kitchen

11. What Next…
• Project savings on estimated budget mean service has been
extended for 2 months.
•FUNDING!
• Who funds? (ACS, County Council, CCG, Hospital Trusts??)
• Who is responsible, savings are made across organisations!!