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Hospital Discharge
Our Hospital Discharge service is a proven solution designed to significantly reduce delays in the discharge process by providing invaluable support to families facing critical care choices.
There are multiple barriers in the discharge process, there may be difficulty finding a care home that has capacity, or one that can meet complex needs; family members can feel overwhelmed or disagree. All affect the process of decision-making and thereby delay hospital discharge.
Our service is strategically established to optimise and manage all pathways of discharge to assess (D2A), including home-based D2A, bed-based D2A, and the continuing healthcare pathway, ensuring a seamless and efficient transition for patients based on their unique needs and circumstances
How our Hospital Discharge service works
Our team receives referrals for patients medically optimised for discharge who need to move from hospital to 24-hour care.
Our team contacts patient’s next of kin on the same day as the referral.
Our team provides an evening and weekend working service which means no time is lost.
By providing families with a shortlist of suitable care homes with capacity who meet their needs, we support them to focus on relevant providers.
Care home is chosen within two days of referral.
We work closely with care home providers to ensure they carry out their own hospital-based assessment as promptly as possible.
Transfer from hospital to care home takes place within a total of five days of referral.
Funder types
We often work with people funding their own care; recognised as a group in need of support at greater risk of choice delays.
We regularly work with families of individuals with Fast Track end-of-life funding, where sensitivity and speed of process are both essential.
Our hospital discharge family support service can be commissioned for all patients, or for specific funder types.
Quality of reporting
By focusing on every aspect of the process, quickly addressing any delays and constantly seeking improvements, we achieve huge improvements in speed of discharge.
The quality of our reporting is widely valued; enabling us to achieve optimal process management and providing key business intelligence to commissioners. Evaluation of our service is overwhelmingly positive: families value the tailored support provided at a very difficult time.
Consistently, more than 95% of service users say our support was ‘excellent’ or ‘good’.
Discharge to Assess (D2A)
Our service is established to reduce delays and optimally manage patients through all pathways.
Proactive bed coordination and patient-centred care is essential in discharge to assess. An individual will move across different care settings, meaning many different services and professionals will be involved in their pathway. Our database was created specifically for discharge to assess, giving visibility of all patients and every activity which needs to take place in order for the patient to move along the pathway.
This is critical, together with the focused management we provide, otherwise patients can easily become ‘stuck’ in D2A. We manage all processes to ensure there are no lengthy delays in assessments taking place, or in other required activities such as enablement.
Trusted Assessor
A Trusted Assessor carries out assessments of hospital patients on behalf of care homes, who need to consider what the patient’s needs are and whether they would be able to meet those needs.
One of the main causes of delay to hospital discharge is the time taken by care homes to carry out assessments of individuals who are in hospital and are transferring out into 24-hour care.
We provide a Trusted Assessor service to support hospital discharge by undertaking an independent, recognised single assessment.
Hospital Discharge case studies
Contact our hospital discharge team
If you’d like to learn more about how Xyla can unlock capacity and alleviate pressures on your services, please fill in the form below or contact our specialist team on 0121 362 8840.
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