Hospital discharge:

Care co-ordination for discharge home

Our service is proven to reduce delays to hospital discharge by co-ordinating care and support required for a patient to return to their own home.

The principle is widely established that following hospital treatment, people should be supported to go home, if this is safe and in their best interests. However, the critical shortage in capacity can cause significant hospital discharge delays; patients remain in acute care awaiting the organisation of care and support in their own home.

Our service focuses on arranging packages of care and support as quickly as possible by reducing all potential causes of delay and through close relationships with local care providers. We are in contact with local providers every week, building positive links which enable our teams to find capacity where resources are under pressure and to organise care for individuals with high, complex needs.

This is how it works:

  • Once a referral is made, we contact patient and/or next of kin on the same day
  • Our service model includes evening and weekend working, so no time is lost
  • Package of care and support is arranged within 48 hours of referral (often less) and discharge from hospital within five days of initial referral (often less)

Our service is proven to reduce delays to hospital discharge and in doing so, improve patient flow and experience. The quality of our reporting is highly valued: we have visibility of every patient, optimal process management and our commissioners recognise the business intelligence our reporting provides.

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