All need to be categorised in an NHS section to do with hospital discharge but also need to be re-written

Theme no. 5: Legal requirements regarding a ‘practicable’ home care offer, and cost-capping culture among councils and CCGs

Councils will often agree with a hospital that people with needs for a placement or services involving any kind of double handling, or a need for more than 3 visits a day, ought to be checklisted by the nursing staff. That is to ensure that people who might qualify for CHC, get a DST, and […]

Theme no. 5: Legal requirements regarding a ‘practicable’ home care offer, and cost-capping culture among councils and CCGs Read More »

Theme no. 4: Choice rights, top-ups and arbitrarily low council/CCG rates for placements

  Hospital trusts have ‘choice’ policies which purport to allow for choices, but the real choice rights are rights in law, to be placed by a council, if one is having council made care home arrangements, in the home of one’s preference, subject to suitability, availability, the home’s being willing to contract on reasonable terms

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Theme no. 3: Checklisting for CHC – this doesn’t seem to be mentioned in the Care Act’s hospital discharge schedule, and so is it on its way out?

Material taken from the National Framework on checklisting CCGs should ensure that local protocols are developed between themselves, other NHS bodies, LAs and other relevant partners.   These should set out each organisation’s role and how responsibilities are to be exercised in relation to delayed discharge and NHS continuing healthcare, including responsibilities with regard to

Theme no. 3: Checklisting for CHC – this doesn’t seem to be mentioned in the Care Act’s hospital discharge schedule, and so is it on its way out? Read More »

Theme no. 2: Options for integration of health and social work inputs, in the context of hospital discharge

‘Discharge to Assess’ policy and practice differs around the country but is all part of a determined push towards integration of health and social care thinking tasks, to ensure people get out of hospital beds as soon as possible. https://www.nhs.uk/NHSEngland/keogh-review/Documents/quick-guides/Quick-Guide-discharge-to-access.pdf The benefits of a fully mature, integrated system that has the right capacity in the

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Theme no. 1: Fitness for hospital discharge and ‘clinical optimisation’ – who is accountable for these decisions?

Nobody is supposed to be discharged from the care of the NHS in an acute hospital until they are medically fit. That’s a professional evaluation, based on clinical consensus after monitoring after any operation, or adjustment in medication as to whether a person is at the point at which care and assessment can safely be

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Introduction to our #HosDisChat in support of CASCAIDr’s launch

Hospital discharge disputes, delay, and distress Healthwatch England’s Safely Home? report found that one in 10 trusts do not routinely notify relatives and carers that someone has been discharged, and that one in eight people did not feel they were able to cope in their own home after being discharged from hospital. Conversely, Age UK

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Summary of the law on the timing of Assessment and Discharge notices for transfers from acute hospitals

Schedule 3 of the Care Act is the law on hospital discharge now, and Annex G is the Guidance – all Care Act documents, but applicable to the NHS as well as Local Authorities. Section 6 and 7 of the Care Act require co-operation between relevant partners, Health and the council being just such. The

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