Home First Scheme Expands Across Bedfordshire and Hertfordshire to Reduce Hospital Delays

New initiative aims to get patients home sooner and safely with enhanced support, extending a successful pilot programme.

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The Home First scheme, designed to reduce hospital delays and ensure patients return home safely with enhanced support, is being extended across Bedfordshire and Hertfordshire from Monday 2 November 2026.

The initiative, which successfully piloted at Bedford Hospital earlier this year, identifies patients who require new care or increased carer support upon leaving hospital. Luton Borough Council will also launch its own 'Home First Recover to Reable' scheme.
Under the scheme, a home care provider will deliver a universal offer of four care calls per day for the first 72 hours, or up to one week post-discharge depending on the local authority. This aims to facilitate a safe return home, with needs assessed in the patient's own environment to arrange further care.
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"This is an excellent initiative that aims to get patients home as soon as they are medically stable to leave hospital. It also ensures that more people have the opportunity to get home over a weekend and reduces avoidable hospital related harm associated with prolonged hospital stays."

Dr Tammy Angel · Chief Clinical Transformation Officer
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"We are proud of the collaborative work that we have been doing with system partners and care providers, and this scheme continues our commitment to improving outcomes for both patients and services."

Dr Tammy Angel · Chief Clinical Transformation Officer
Feedback from patients during the pilot indicated a strong preference for recovering at home, with many expressing relief and improved wellbeing. One patient discharged via the scheme stated, “I would definitely recommend this to others in hospital as it allowed me to go home and have confidence.”
Further information on the scheme is available on the Home First website page.
Based on information from the official source: Bedfordshire Hospitals NHS Foundation Trust (02/11/2026)