{"id":6578,"date":"2026-03-13T11:51:23","date_gmt":"2026-03-13T11:51:23","guid":{"rendered":"https:\/\/newtonimpact.com\/?post_type=content_library&#038;p=6578"},"modified":"2026-03-13T15:02:24","modified_gmt":"2026-03-13T15:02:24","slug":"helping-people-stay-well-at-home-strengthening-local-services-through-home-based-support","status":"publish","type":"content_library","link":"https:\/\/newtonimpact.com\/en-us\/content-library\/blog\/helping-people-stay-well-at-home-strengthening-local-services-through-home-based-support\/","title":{"rendered":"Helping people stay well at home: strengthening\u00a0local\u00a0services\u00a0through\u00a0home-based support\u00a0"},"content":{"rendered":"\n        <section id=\"\" class=\"align wp-block-acf-single-item-header\">\n            <div class=\"block \">\n                            <div class=\"block-inner add-visible\">\n                \n<div class=\"grid-wrapper-10\">\n    <a href=\"#\" id=\"back-link\" class=\"font-label\">Take Me Back<\/a>\n\n    <h1>Helping people stay well at home: strengthening\u00a0local\u00a0services\u00a0through\u00a0home-based support\u00a0<\/h1>\n    <p class=\"author\">By Edmund Barry<\/p>\n\n    <div class=\"post-info-wrapper\">\n        <!-- author role -->\n                    <p class=\"font-label\">Business Manger, Newton<\/p>\n            <span class=\"dot\"><\/span>\n                <!-- post type -->\n                            <p class=\"font-label\">Blog<\/p>\n                    <span class=\"dot\"><\/span>\n                        <!-- reading time -->\n                    <p class=\"font-label\">5 min<\/p>\n            <span class=\"dot\"><\/span>\n                <!-- date -->\n        <p class=\"font-label\">13th March 2026<\/p>\n    <\/div>\n<\/div>\n\n            <\/div>\n            <\/div>\n        <\/section>\n\n    \n\n\n        <section id=\"\" class=\"align wp-block-acf-single-image-full-width\">\n            <div class=\"block \">\n                            <div class=\"block-inner add-visible\">\n                \n    <div class=\"grid-wrapper-10\">\n    <div class=\"image-wrapper\">\n                <img decoding=\"async\" src=\"https:\/\/newtonimpact.com\/wp-content\/uploads\/2026\/03\/GettyImages-1206536806-scaled.jpeg\" alt=\"\">\n    <\/div>\n    <\/div>\n\n            <\/div>\n            <\/div>\n        <\/section>\n\n    \n\n\n        <section id=\"\" class=\"align wp-block-acf-text\">\n            <div class=\"block \">\n                            <div class=\"block-inner add-visible\">\n                \n<div class=\"block-align left\">\n    \n    <div class=\"wysiwyg\">\n        <p><span data-contrast=\"auto\">Across England, local health and care teams are working hard to help people stay well at home and avoid unnecessary hospital stays. Last year, Newton and the national Better Care Fund brought together\u00a0<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">leaders\u00a0from\u00a018\u00a0different\u00a0systems across\u00a0health and social care\u00a0to learn from one another and strengthen a type of\u00a0short\u00a0term\u00a0support called\u00a0<\/span><i><span data-contrast=\"auto\">homebased intermediate care<\/span><\/i><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This support focuses on helping people recover at home after an illness or injury or avoid going into hospital in the first place. It might involve rehabilitation, practical help around the home, or short bursts of intensive support.\u00a0Ultimately, the\u00a0goal is simple:\u00a0<\/span><b><span data-contrast=\"auto\">help people regain confidence and independence in the place they\u00a0tend to\u00a0feel most comfortable \u2013 their own home<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #ff6223\"><strong>Why this matters<\/strong><\/span><\/p>\n<p><span data-contrast=\"auto\">We know from national evidence that people\u00a0generally\u00a0recover\u00a0better when they can stay at home. They\u00a0return to health\u00a0more quickly, are less likely to need long\u00a0term care, and avoid the disruption of unnecessary hospital time. This approach also helps free up hospital beds for those who need them most.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">We\u2019ve seen the difference this kind of work can make in places like Leeds,\u00a0where\u00a0Newton\u00a0worked directly with the Health &amp; Care Partnership to redesign how intermediate care operates,\u00a0resulting\u00a0in\u00a0169 more people each year returning home rather than moving into long<\/span><span data-contrast=\"auto\">\u2011<\/span><span data-contrast=\"auto\">term beds,\u00a0an 8.2day reduction in short\u00a0term bed stays,\u00a0and 421 more people going straight home from hospital.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Every winter, the NHS experiences a sharp increase in demand;\u00a0more people need urgent care, hospitals become busier, and local services come under significant pressure. This initiative was designed to help local health and care systems strengthen their support at home so they could manage these winter pressures more effectively.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"color: #ff6223\">Where we started<\/span><\/strong><\/p>\n<p><span data-contrast=\"auto\">Over four sessions, teams from across the country explored what \u201cgood\u201d looks like in homebased intermediate care. Together, they:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Clarified the most important problems\u00a0for them\u00a0to solve\u00a0locally<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Agreed the measures that matter\u00a0for them and\u00a0their residents\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Built practical,\u00a0locally-specific\u00a0plans focused on making meaningful improvements before winter<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">Committed to delivering at least one real, tangible change that would\u00a0benefit\u00a0local people quickly<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n    <\/div>\n<\/div>\n\n            <\/div>\n            <\/div>\n        <\/section>\n\n    \n\n\n        <section id=\"\" class=\"align wp-block-acf-card-slider\">\n            <div class=\"block \">\n                            <div class=\"block-inner add-visible\">\n                \n<!-- <div id=\"placeholder\"><\/div> -->\n<div class=\"card-slider-content-wrapper\">\n    <div class=\"title-wrapper\">\n        <hgroup class=\"headline-wrapper\" role=\"group\" aria-roledescription=\"Heading group\">\n            <div class=\"top-title-wrapper\">\n                                                    <h2 class=\"main-title\">What changed on the ground <\/h2>\n                                                    <p aria-roledescription=\"tagline\" class=\"tagline\">Despite different local challenges, many areas focused on similar improvements. These included: <\/p>\n                            <\/div>\n        <\/hgroup>\n\n                <button class=\"open-slider newton-button\">\n            <span class=\"button-text\">Learn more<\/span>\n            <svg class=\"chevron-icon\" width=\"8\" height=\"14\" viewBox=\"0 0 8 14\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                <path d=\"M0.875 0.75L7.125 7L0.875 13.25\" fill=\"#272C36\"\/>\n            <\/svg>\n            <div class=\"arrows\">\n                <svg class=\"button-arrow\" width=\"96\" height=\"192\" viewBox=\"0 0 96 192\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path d=\"M0 0L96 96L0 192\" fill=\"#272C36\"\/>\n                <\/svg>\n                <svg class=\"button-arrow large\" width=\"147\" height=\"294\" viewBox=\"0 0 147 294\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path d=\"M0 0L147 147L0 294\" fill=\"#272C36\"\/>\n                <\/svg>\n            <\/div>\n        <\/button>\n            <\/div>\n    <div class=\"card-swiper\">\n        <div class=\"swiper-wrapper\">\n                    <div class=\"carousel-item swiper-slide\">\n                <hgroup>\n                    <p class=\"font-label\"><\/p>\n                    <div class=\"img-container\">\n                        <img decoding=\"async\" src=\"https:\/\/newtonimpact.com\/wp-content\/uploads\/2026\/03\/GettyImages-599265432-scaled-e1773402435580.jpeg\" alt=\"\">\n                    <\/div>\n                    <div class=\"text-wrapper\">\n                        <h3>Optimising existing services<\/h3>\n                        <p class=\"text\">Ensuring maximum impact of the staff already in place, fixing inefficiencies within scheduling, setting up better multi-disciplinary team practices, changing how teams worked together to better support residents.  <\/p>\n                    <\/div>\n                <\/hgroup>\n            <\/div>\n                    <div class=\"carousel-item swiper-slide\">\n                <hgroup>\n                    <p class=\"font-label\"><\/p>\n                    <div class=\"img-container\">\n                        <img decoding=\"async\" src=\"https:\/\/newtonimpact.com\/wp-content\/uploads\/2026\/03\/GettyImages-849182556-scaled-e1773402472634.jpeg\" alt=\"\">\n                    <\/div>\n                    <div class=\"text-wrapper\">\n                        <h3>Setting up new services<\/h3>\n                        <p class=\"text\">Including a new overnight support at home service, merging two intermediate care providers, bringing online new Pathway 1 capacity, and creating a new social work team to focus on intermediate care flow.\r\n<\/p>\n                    <\/div>\n                <\/hgroup>\n            <\/div>\n                    <div class=\"carousel-item swiper-slide\">\n                <hgroup>\n                    <p class=\"font-label\"><\/p>\n                    <div class=\"img-container\">\n                        <img decoding=\"async\" src=\"https:\/\/newtonimpact.com\/wp-content\/uploads\/2026\/03\/GettyImages-941789494-scaled-e1773402503625.jpeg\" alt=\"\">\n                    <\/div>\n                    <div class=\"text-wrapper\">\n                        <h3>Embedding improved data visibility<\/h3>\n                        <p class=\"text\">A common theme of discussion in every session was the critical need for a single, shared view of the data within intermediate care \u2013 to enable operational decision making, performance accountability, commissioning decisions, and identify opportunities for improvement. Multiple systems were focused on step changing the data visibility they had available to them to monitor intermediate care performance <\/p>\n                    <\/div>\n                <\/hgroup>\n            <\/div>\n                <\/div>\n        <div class=\"pagination-wrapper\">\n                        <button class=\"close-slider newton-button\">\n                <span class=\"button-text\">Close<\/span>\n                <svg class=\"chevron-icon\" width=\"8\" height=\"14\" viewBox=\"0 0 8 14\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path d=\"M0.875 0.75L7.125 7L0.875 13.25\" fill=\"#272C36\"\/>\n                <\/svg>\n                <div class=\"arrows\">\n                    <svg class=\"button-arrow\" width=\"96\" height=\"192\" viewBox=\"0 0 96 192\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <path d=\"M0 0L96 96L0 192\" fill=\"#272C36\"\/>\n                    <\/svg>\n                    <svg class=\"button-arrow large\" width=\"147\" height=\"294\" viewBox=\"0 0 147 294\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <path d=\"M0 0L147 147L0 294\" fill=\"#272C36\"\/>\n                    <\/svg>\n                <\/div>\n            <\/button>\n                        <div class=\"swiper-controls\">\n                <div class=\"swiper-button swiper-button-prev\">\n                    <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<g clip-path=\"url(#clip0_5386_3146)\">\n<path d=\"M2.5 8H13\" stroke=\"#272C36\" stroke-width=\"2\" stroke-linecap=\"square\" stroke-linejoin=\"round\"\/>\n<path d=\"M9 3.5L13.5 8L9 12.5\" stroke=\"#272C36\" stroke-width=\"2\" stroke-linecap=\"square\"\/>\n<\/g>\n<defs>\n<clipPath id=\"clip0_5386_3146\">\n<rect width=\"16\" height=\"16\" fill=\"white\"\/>\n<\/clipPath>\n<\/defs>\n<\/svg>\n                <\/div>\n                <div class=\"swiper-button swiper-button-next\">\n                    <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<g clip-path=\"url(#clip0_5386_3146)\">\n<path d=\"M2.5 8H13\" stroke=\"#272C36\" stroke-width=\"2\" stroke-linecap=\"square\" stroke-linejoin=\"round\"\/>\n<path d=\"M9 3.5L13.5 8L9 12.5\" stroke=\"#272C36\" stroke-width=\"2\" stroke-linecap=\"square\"\/>\n<\/g>\n<defs>\n<clipPath id=\"clip0_5386_3146\">\n<rect width=\"16\" height=\"16\" fill=\"white\"\/>\n<\/clipPath>\n<\/defs>\n<\/svg>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n            <\/div>\n            <\/div>\n        <\/section>\n\n    \n\n\n        <section id=\"\" class=\"align wp-block-acf-text\">\n            <div class=\"block \">\n                            <div class=\"block-inner add-visible\">\n                \n<div class=\"block-align left\">\n            <!-- General headline styles are set in common.scss -->\n\n<hgroup class=\"headline-wrapper  \" role=\"group\" aria-roledescription=\"Heading group\">\n                <h2 aria-roledescription=\"subtitle\" class=\"main-title small\">What we heard from local teams <\/h2>\n        <\/hgroup>\n    \n    <div class=\"wysiwyg\">\n        <p><span data-contrast=\"auto\">When the group came back together after\u00a0implementing the changes over\u00a0winter, several themes\u00a0emerged:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"color: #ff6223\"><b> Demand is rising, and needs are becoming more complex<\/b><\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Many areas saw more people needing help, often with more complicated health or social needs, including mental health challenges. This increased the pressure on local teams.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"color: #ff6223\"><b> Some groups fall between the gaps<\/b><\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">For example, people who cannot put weight on their legs (e.g., after a fracture or surgery) often\u00a0don\u2019t\u00a0fit neatly into existing pathways. This can delay discharge from hospital. Areas highlighted the need for more flexible support that adapts as people recover.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"color: #ff6223\"><b> Sharing information makes everything work better<\/b><\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Where teams used shared digital referral systems or had a single view of\u00a0demand, people moved through services more quickly and with fewer delays. It meant everyone was working from the same, up\u00a0to\u00a0date information.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"color: #ff6223\"><b> Voluntary organisations are essential partners<\/b><\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Groups like\u00a0Age UK\u00a0and the\u00a0British Red Cross\u00a0played crucial roles;\u00a0checking in on people at home, helping prepare living spaces, and supporting those with\u00a0lower\u00a0level\u00a0needs. Their involvement prevented hospital admissions and helped people return home safely.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">We\u2019re\u00a0hearing the same pressures across the country;\u00a0rising demand, more complex cases, and groups of people who simply\u00a0don\u2019t\u00a0fit neatly into the pathways\u00a0available. What really stood out this winter is how often those gaps create delays unless services have shared visibility and partners can act together, and that absolutely matches what\u00a0we\u2019ve\u00a0seen in the systems\u00a0we\u2019ve\u00a0worked in.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n    <\/div>\n<\/div>\n\n            <\/div>\n            <\/div>\n        <\/section>\n\n    \n\n\n        <section id=\"\" class=\"align wp-block-acf-three-reasons-grid\">\n            <div class=\"block \">\n                            <div class=\"block-inner add-visible\">\n                <!-- General headline styles are set in common.scss -->\n\n<hgroup class=\"headline-wrapper  \" role=\"group\" aria-roledescription=\"Heading group\">\n                <h2 aria-roledescription=\"subtitle\" class=\"main-title \">Where do we go from here? <\/h2>\n                <p aria-roledescription=\"tagline\" class=\"tagline \">Looking ahead, three priorities for local health and care partners stood out: <\/p>\n    <\/hgroup>\n<div class=\"grid-wrapper\">\n    <div class=\"grid-item\">\n        <span class=\"count\">01<\/span>\n        <h3>Create a fully joined up intermediate care system <\/h3>\n        <p class=\"row-content\">Rather than being constrained by organisational boundaries, people should receive support based on their rehabilitation goals, with services that flex as their needs change. Shared digital tools and jointly developed ways of working will be vital.  <\/p>\n    <\/div>\n    <div class=\"grid-item\">\n        <span class=\"count\">02<\/span>\n        <h3>Grow homefirst support in a sustainable way <\/h3>\n        <p class=\"row-content\">Supporting people at home works best when teams have the right capacity, rehabilitation staff, equipment, voluntary sector partners, and a well designed workforce model.  <\/p>\n    <\/div>\n    <div class=\"grid-item\">\n        <span class=\"count\">03<\/span>\n        <h3>Give local areas space to innovate <\/h3>\n        <p class=\"row-content\">Systems need time and support to design, test, and fund new models of intermediate care. A national framework can help, but local flexibility is key.  <\/p>\n    <\/div>\n<\/div>\n            <\/div>\n            <\/div>\n        <\/section>\n\n    \n\n\n        <section id=\"\" class=\"align wp-block-acf-text\">\n            <div class=\"block \">\n                            <div class=\"block-inner add-visible\">\n                \n<div class=\"block-align left\">\n            <!-- General headline styles are set in common.scss -->\n\n<hgroup class=\"headline-wrapper  \" role=\"group\" aria-roledescription=\"Heading group\">\n                <h2 aria-roledescription=\"subtitle\" class=\"main-title small\">What this initiative showed us <\/h2>\n        <\/hgroup>\n    \n    <div class=\"wysiwyg\">\n        <p><span data-contrast=\"auto\">Bringing people together created the space for honest conversations about what was and\u00a0wasn\u2019t\u00a0working. Real\u00a0world experience shared across the group helped uncover practical solutions\u00a0around referrals, handovers, visibility of caseloads, and partnerships with the voluntary sector.\u00a0These insights now form a valuable resource for anyone looking to strengthen support that helps people stay well at home.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">It has also been interesting to see similar themes reflected nationally. In her recent speech at the Nuffield Trust Summit, Baroness Casey spoke about the challenges created by a system that can feel \u201ccreaking, inconsistent and impenetrable,\u201d and how people often find themselves navigating gaps between services. She highlighted rising demand, greater complexity, and the divide between health and social care;\u00a0issues that echo many of the reflections shared through our Community of Practice. Her comments suggest a growing recognition of the need for more connected,\u00a0person\u00a0centred\u00a0approaches across the country.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p>Thank you to everyone who contributed to this shared effort.<\/p>\n<p><strong>If you would like access to the resources created from this Community of Practice, please reach out to\u00a0me.\u00a0\u00a0<\/strong><\/p>\n<p><strong>Edmund Barry, Business Manager at Newton.<\/strong><\/p>\n<p><strong>Edmund.Barry@newtonimpact.com<\/strong><\/p>\n    <\/div>\n<\/div>\n\n            <\/div>\n            <\/div>\n        <\/section>\n\n    ","protected":false},"author":16,"featured_media":6584,"template":"","content_type":[20],"markets":[40],"class_list":["post-6578","content_library","type-content_library","status-publish","has-post-thumbnail","hentry","content_type-blog","markets-healthcare"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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