Whilst in hospital, the processes of recovery and discharge are already being considered for all patients. This is a thorough process and our Integrated Discharge Team will make sure you receive the most appropriate care and ongoing support when you are ready to leave hospital.
Our integrated team consists of nurses, community nurses, physical and occupational therapists, trust services and social workers. Within the integrated discharge team we work collaboratively to bridge the gap between health and social care by having regular open contact with our hospitals, community health services, local authorities, inter agency teams, domiciliary care and community health care teams to help provide you with the best support you need.
Numerous options are available on discharge, some of which include needing a care package at home, rehabilitation placement, a period of assessment, or needing 24 hour residential/nursing care placement.
Our Integrated Discharge Team operate with the Home First, Sooner campaign which aims to always think home first prior to any other options.
Patients will be monitored on the appropriate discharge pathway at the time of report, ensuring this is fully assessed by our integrated discharge team and we utilise all trust services to facilitate a safe discharge out of hospital. The pathways are continuously assessed and re-evaluated with the changing needs of our patients.
We will ensure to regularly communicate and update appointment persons of patients choice with all developments in the discharge process, to ensure full support is met from our team for the appropriate place of discharge.
We have a member of the team present in a number of wards and these can be contacted via the ward staff when required to support planning the most appropriate discharge from hospital.
If you have any questions or want advice, you can speak to the nurse on the ward who will make contact with a member of the integrated discharge team for you.
