Comment

20.10.16

Are district councils the key to unlocking hospital bed blocking?

Source: PSE Oct/Nov 16

Cllr Michelle Lowe, deputy leader and cabinet member for housing and health at Sevenoaks District Council, looks at how district councils could help take the pressure off the NHS and social services by reducing hospital bed blocking.

We keep reading in the press about how delays in discharging patients from hospital after treatment could be costing the NHS nearly £1bn a year. 

Vulnerable and frail patients cannot be discharged if their homes are not suitable for them, or if the support is not there in the community for them. Long, unnecessary stays in hospital are not good for older people as they can become institutionalised too quickly. 

The NHS has serious concerns about this winter. Trips and falls at home can only exacerbate an already difficult situation, and when people are admitted to hospital they need to treat them, and then discharge them as soon as they are well enough to leave. 

So how can district councils help? Well, we hold the keys to both helping to prevent falls and to preparing homes while people are in hospital so that they can be discharged sooner. 

Nearly half of all trips and slips happen at home. As the housing authority, district councils are responsible for Disabled Facility Grants (DFGs) which are used to allow adaptions to be made to make homes safe for people. They could involve adding a rail by the shower, a stair lift or ramp to help prevent slips and trips. Although a means-tested benefit, many district councils supplement their DFG service with an affordable handy person service to help those who do not qualify.

This service can go even further. My own district council, Sevenoaks, has recently struck a deal with our local CCG to provide a referral system allowing patients to begin the DFG process while in hospital, so that they can be discharged sooner. The new referral system allows other council services to be included such as private sector housing; our holistic advice service HERO (Housing, Energy and Retraining Options); and the healthy living team to be involved in providing preventive measures, avoiding further hospital admissions.    

Council handyperson services are often more than a repair service. Often they are trained to look for other hazards or signs of the resident not coping while they are in their home. They can work with the fire service to have smoke alarms fitted, notice if there is no food or if the resident is not behaving normally – flagging up other potential problems. They are also likely to be a dementia friend. 

Energy efficiency can be linked to the DFG service. Keeping people warm, but especially older and vulnerable people warm, will also prevent slips and trips as well as illnesses. 

And, of course, by using their housing together with their planning role, district councils can try to meet demand for specialist older peoples’ homes whether they are supported living or simply designed for older people (all on one floor, etc). 

District councils also have responsibility for leisure. Residents that take part in the DFG or handyperson services can also be referred to falls prevention programmes (exercises to strengthen core muscles to help prevent falls, while socialising and preventing loneliness) to activities at the local leisure centre, such as swimming or even golf. Keeping older people fit and active will in turn help to prevent falls. 

District councils sit at the centre of a huge web of community groups and activities. By working through community groups they can promote their services to make sure they have prevented as many older and vulnerable people from falling as possible. They can also help to galvanise the power of volunteers to check on older people, clear their driveways or front door steps from snow or ice, and make sure they have enough food over the winter. 

The health service and county councils need to really reflect on how district councils can help them prepare for winter by both helping to prevent hospital admissions and prepare homes so patients that are admitted are discharged as soon as possible. District councils could be the secret key to helping  unlock bed blocking this winter.

Tell us what you think – have your say below or email [email protected]

Comments

There are no comments. Why not be the first?

Add your comment

 

public sector executive tv

more videos >

latest public sector news

Temporary 'Nightingale Courts' to open from next week

03/08/2020Temporary 'Nightingale Courts' to open from next week

The Lord Chancellor, Robert Buckland QC MP has announced that the temporary ‘Nightingale Courts’ will begin hearing cases from next w... more >
700 new council homes under construction in London borough of Brent

03/08/2020700 new council homes under construction in London borough of Brent

London Borough of Brent Council has announced today (Aug 3) that just under 700 new council homes are under construction in the area as part of a... more >
Extra £22.7m in funding for adult social care providers

03/08/2020Extra £22.7m in funding for adult social care providers

Welsh Health and Social Services Minster Vaughan Gething has announced £22.7m in additional funding today (Aug 3) for adult social care pro... more >

the raven's daily blog

Cleaner, greener, safer media: Increased ROI, decreased carbon

23/06/2020Cleaner, greener, safer media: Increased ROI, decreased carbon

Evolution is crucial in any business and Public Sector Executive is no different. Long before Covid-19 even became a thought in the back of our minds, the team at PSE were looking at innovative ways to deliver its content to our audience in a more dynamic and responsive manner. We’re conscious to take the time to both prot... more >
read more blog posts from 'the raven' >

interviews

Artificial intelligence: the devil is in the data

17/12/2018Artificial intelligence: the devil is in the data

It’s no secret that the public sector and its service providers need to invest in technology to help make better use of their resources. Bu... more >
Digital innovation in the public sector: The future is now

17/12/2018Digital innovation in the public sector: The future is now

One of the public sector’s key technology partners has recently welcomed a new member to its team. Matt Spencer, O2’s head of public ... more >
New Dorset Councils CEO on the creation of a new unitary: ‘This is going to be the right decision for Dorset’

05/11/2018New Dorset Councils CEO on the creation of a new unitary: ‘This is going to be the right decision for Dorset’

The new chief executive of one of the new unitary authorities in Dorset has outlined his approach to culture and work with employees, arguing tha... more >
Keeping the momentum of the Northern Powerhouse

15/10/2018Keeping the momentum of the Northern Powerhouse

On 6 September, the biggest decision-makers of the north joined forces to celebrate and debate how to drive innovation and improvement through th... more >

last word

Prevention: Investing for the future

Prevention: Investing for the future

Rob Whiteman, CEO at the Chartered Institute of Public Finance (CIPFA), discusses the benefits of long-term preventative investment. Rising demand, reducing resource – this has been th... more > more last word articles >

editor's comment

25/10/2017Take a moment to celebrate

Devolution, restructuring and widespread service reform: from a journalist’s perspective, it’s never been a more exciting time to report on the public sector. That’s why I could not be more thrilled to be taking over the reins at PSE at this key juncture. There could not be a feature that more perfectly encapsulates this... read more >

public sector focus

Automating back-office processes for local authorities

29/07/2020Automating back-office processes for local authorities

Words provided by Cantium Business Solutions,... more >
How can data help the public sector? - National Innovation Centre for Data

16/07/2020How can data help the public sector? - National Innovation Centre for Data

On this week’s episode of Public Sector... more >