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Integrated Discharge Service – Social Work Service in Glasgow Hospitals

Integrated Discharge Service – Social Work Service in Glasgow Hospitals. Nonie Calder Practice Team Leader 17 th August 2005. Discharge Planning. Partnership Working Whole system thinking Accurate Assessment Safe Discharge Timely Discharge. Hospital Social Work Team Referrals.

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Integrated Discharge Service – Social Work Service in Glasgow Hospitals

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  1. Integrated Discharge Service – Social Work Service in Glasgow Hospitals Nonie Calder Practice Team Leader 17th August 2005

  2. Discharge Planning • Partnership Working • Whole system thinking • Accurate Assessment • Safe Discharge • Timely Discharge

  3. Hospital Social Work Team Referrals Referrals Received by City Wide Hospital Social Work Teams April 2004 –March 2005 Referrals Received for North Glasgow Hospital Social work Teams April 2004 –March 2005

  4. Referrals, Activity and Performance 2004-2005

  5. Delays in Completing Assessments • 21 Advocacy/Guardianship issues. • 15 Waiting for Medical Reports and Medical Assessments. • 10 Deterioration in Health Client refusing to co-operate with the assessment accounts for three quarters of the delays. • 8 receiving rehabilitation. • 3 Unable to Contact Family. • 1 client refusing to co-operate with assessment. • 1 family refusing to cooperate with assessment.

  6. Local Outcomes • Development of a wider range of provision. • Increased spending on Intensive Home Care. • Rapid Response/Rehabilitation Service Acute and Community Based. • Increased Number of Home Care Places

  7. Future Work • Harmonising of the joint working process • Rigorous Performance management • Better picture, better outcomes

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