Expansion of hospital at home pilot

We’ve been engaging about how to improve older people’s mental health and dementia services since 2017 and making changes to improve the experience for patients and their carers accessing our services - helping people to live well in their communities.

Impact of the pandemic

In April 2020, the pandemic was having a big impact on the staff we had available across our hospital wards. We had to take the difficult decision to temporarily close Manthorpe ward in Grantham and redeploy this team to support other older people’s wards in Lincoln and our community teams.

With the longer than expected impact of the pandemic on health services, the ward has remained closed since then, but we’ve been piloting a new hospital at home approach to prevent vulnerable older people going in to hospital which we are seeing a really positive impact from.

What is happening next?

This new hospital at home approach appears to be having a positive impact and now that the pandemic is having a less substantial impact on our wards, we want to evaluate the full potential of dementia home treatment.

We’ve therefore made the decision to expand the pilot for a further 12 months, expand the help and support the team can offer and do more engagement and evaluation on its impact.

To do this, we need to use the resources and staff allocated to Manthorpe ward and therefore the ward will remain closed during this time.

Whilst we have done lots of engagement already during the closure, we want to ensure everyone affected has the opportunity to comment. We are therefore hosting a number of engagements events and will be popping along to talk to community groups about the changes, to allow as many people as possible to tell us what they think.

We’d love for anyone who is using/or has used our dementia services to come along.

If you aren’t able to attend however you can still share your views via our online survey available at https://www.surveymonkey.co.uk/r/hospital-at-home 

or email lpft.involvement@nhs.net

What is dementia home treatment?

Whilst Manthorpe ward has been temporarily closed, we have been piloting a new hospital at home approach to prevent people with dementia, who’s needs might be escalating, from having to go into hospital. The countywide team help by:


  • Caring for people at home
  • Offering short-term intensive support
  • Bringing different professions together to help
  • Improving patient and carer experience
  • Avoiding unnecessary hospital admissions
  • Educating and supporting carers

They provide up to six weeks of intensive support in people’s homes, or care home, which includes a thorough assessment, safety planning, input from a range of different professionals and future care planning to prevent needs escalating in the future

What has been the impact?

With the introduction of dementia home treatment during the manthorpe ward temporary closure, we have been able to offer more support, to more people, as well as increasing the input we provide into local care homes. We are able to discharge people from hospital faster and are offering better access to care at home, improving clinical outcomes and improving patient experience.

Hospital admissions are now only for those with very complex needs, that can't be supported in the community.


  • Langworth Ward has maintained an average occupancy of 69%
  • No one has had to travel out of Lincolnshire to receive care
  • Less than 5% of patients seen have required hospital admission
  • People have been cared for by the home treatment team or admitted to Langworth ward where they’ve needed hospital care
  • 189 dementia related admissions to Langworth ward - 10 from the Grantham area
  • Dementia related hospital admissions have reduced by 46% (between 2020-2023)

Engagement events

7 August 2023

Healthwatch Lincolnshire event

The Storehouse, North Parade, Skegness, PE25 1BY
7 August 2023 LPFT Carers Council  
8 August 2023

Long Sutton Men's Shed

Silverwood Centre, Long Sutton, PE12 9AX
10 August 2023 Lincoln Library
Free School Lane, Lincoln, LN2 1EZ
16 August 2023 Sleaford Dementia Support Group
Church Room, Deny's Church Sleaford,
NG34 7SH
30 August 2023

Grantham Dementia Cafe
Bhive Community Hub
11a Finkin Street Grantham Lincs NG31 6QZ

6 September 2023 Dementia coffee morning
Alford War Memorial Hall, 4 Chauntry Road, Alford. LN13 9HQ
6 September 2023 Alford Surgery
33 West Street, Alford, LN13 9HT
8 September 2023 Isaac Newton Shopping Centre, Grantham
NG31 6EE
9am - 1pm
13 September 2023 Grantham and District Hospital (outside restaurant)
101 Manthorpe Road, GRANTHAM, NG31 8DG
14 September 2023 Lincolnshire Housing Partnership, Mayfield. Boston  
19 September 2023 Welland Seniors Forum
United Reformed Church Hall, Pinchbeck Rd, Spalding, PE11 1 QD
20 September 2023 Senior Citizens Advise Group. Grantham 6pm-7pm
21 September 2023 Boston Primary Care Network Neighbourhood Networking event 10am - 3pm
28 September 2023 Square Hole Club, Boston
Dementia Support South Lincs, Deepings Sports and Social Club, Towngate East, Market Deeping, PE6 8LQ.
29 September 2023 The Care Fair
The Guildhall Arts Centre, Grantham, NG31 6PZ
29 September 2023 Age Friendly Lincolnshire Conference 2023
New Life Centre, Sleaford, NG34 7JP


Download a printable version of this information by using this link


Complete our online survey about the pilot and extended closure of Manthorpe Ward by using this link


For more information about any of our engagement events or anything about this pilot please contact lpft.involvement@nhs.net

or call 01529 222245  or 07773 206341


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