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Edinburgh health and social care initiative extended


The Edinburgh Integration Joint Board (EIJB) has approved plans to accelerate approaches to care for people at home

A new model for health and social care in the Capital is set to be extended.

The Edinburgh Integration Joint Board (EIJB) has approved plans to accelerate approaches to care for people at home and in a homely setting.

Designed to reduce the number of people being delayed leaving hospital and improve the care patients receive in their own community, Edinburgh’s home first approach sets out plans to shift health and social care systems to provide greater support for people in their own or familiar surroundings.

The model has already been introduced at the Western General Hospital, where a new post of home first navigator has been filled to support clinicians to think differently and explore possible alternatives for patients to an extended hospital stay, tailored to an individual’s needs.

At the same time, the EIJB has reported a sustained improvement in waiting times to leave hospital and in the number of bed days being lost. Between April 2018 and August 2019, Edinburgh has recorded a reduction of nearly 2,000 occupied bed days attributed to delays.

Following approval of the plans at a meeting of the board this week (Tuesday 22 October), the EIJB will redirect £600,000 freed up by reconfiguration of NHS Lothian’s bed-base towards community services in the north of the city, working with health and social care staff, partners, carers and contractors to develop home first further.

Chairman of the EIJB, Angus McCann, said: “We have made significant progress getting people home safely, quickly and in reducing the number of bed days lost. While this improvement is very positive, we’ve reached a stage where a new approach is needed – one which prioritises a patient’s options and choices, improves their chances of living independently, supports really meaningful collaboration between health workers and communities and reduces waiting times even further.

"Research tells us that the earlier people get out of hospital, the less likely they are to end up back on a ward. Indeed, people in Edinburgh tell us that they don't want to stay in hospital any longer than is necessary. Our shift to support a community focused model of care, through the expansion of our 'home first' model, will help us care for more people in their own homes or homely settings. It will see us step up the care we provide locally and support care workers to have the confidence to admit people to hospital only when it is the best option for them.”



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about 1 year ago
Sent home from hospital in September 2017 after spinal cord injury and severe brain damage my dad is STILL waiting for his care package. Social services seem to think it ok for a 65 year old woman with osteoporosis to be lifting this man several times a day. Edinburgh city council wholly inadequate. Keep your loved ones in hospital until this dysfunctional council pulls up its socks and actually puts the manpower in place to deliver Scottish government legislation. Bring loved ones home at your own risk and risk to your own health and your cares for persons.