Hospital Discharge

1. Hospital Discharge Bev Walker Assistant Director of Nursing and Patient Safety Patients are central to everything we do

2. The Community Care Act 2003 Describes the process that must be followed before adults are discharged from an ‘acute hospital bed’ The Delayed Discharges Directions 2009 To take reasonable steps to ensure that an assessment for NHS continuing care is carried out where applicable The NHS Continuing Healthcare Direction 2009 Applies if hospital stay not covered by the above Ready to Go Identifies 10 steps to achieving safe & timely discharge Halfway Home Updated intermediate care guidance Legislation & Guidance

3. Our Approach to Discharge Discharge can be defined as “The process whereby a patient is discharged from the acute setting” (NHSLA Risk Management Standards 2010), this pertains to South Tees Hospitals NHS Foundation Trust and patients being discharged from hospital including those discharged to another NHS Trust or care provider.

4. Patients with Simple Ongoing Health and Social Care Needs Patients with Complex Ongoing Health and Social Care Needs Patients who are Discharged out of Hours Different Groups of Patients

5. Only 69% of patients are satisfied with discharge planning in 2009/10 In-patient survey Communication - to patients and carers and other professionals Delays with medication Information about medication Where we could improve

6. Review of Discharge Policy Review of patient documentation More timely communication with GP’s Better communication with care homes and community staff Better communication with patients / families about predicated date of discharge – starts before admission where appropriate More timely ordering of discharge medication Review of how we give information to patients about their medication What are we doing