Aims of Presentation
• To provide information about the role of the Hospital Discharge Team at the RLI.
• To discuss the factors affecting the discharge planning process from the Discharge Team’s perspective.
• To share ways in which we can work together to improve the discharge planning process.
Hospital Discharge Team• Team Managers: Sue Preston (F/T) & Briony Butler (P/T)
• Social Workers: • Frieda McGill (4days) • Anne Lee (F/T) • Caroline Hockey (F/T)• Sue Helme (F/T) • Jane Upton (P/T) • Lisa Smith (P/T)• Yvonne Simpson (FT)• Glynis Davies (FT)
Hospital Discharge Team• Review Assessment and Support Officers :• Louise Lambert (F/T)• Lyn Baxendale (F/T) • Sue Livingstone (F/T)• Janine Nolan (P/T)
• Admin Support: • Carmen Alexander (F/T) • Catherine Robinson (P/T)• Hospital Discharge also includes Intermediate Care
Services.
Legislative and Procedural Guidance affecting Social Work process within Hospital Discharge
• NHS Continuing Health Care• Mental Capacity• Deprivation of Liberty• Best Interest• Risk Assessment• Safeguarding Adults
Process for Hospital discharge
• Ward issues Section 2 referral when patient is medically fit for assessment
• Referral is sent to Hospital Discharge who input and ensure referrals to OT/ DNLO/ Mental Health Liaison are completed
• Section 2 sent to Social Work for allocation• Cases allocated each morning Monday –
Friday
Issues which can effect or delay discharge
• Incorrect or incomplete information on Section 2
• OT and Mental Health assessments
• Continuing Care considerations
Issues which can effect or delay discharge
• Mental Capacity, Best Interests Decisions
• Safeguarding Issues
• Contacting next of kin
• Family dynamics/conflicts of interest
• Accommodation issues
Issues which can effect or delay discharge
• Availability of Domiciliary mainstream services
• Availability of appropriate placements i.e. Residential, EMD, EMI or Nursing Home beds
• Panel approvals for Residential/Nursing placements
Issues which can effect or delay discharge
• Out of County Residential/Nursing placements
• Patient becomes unwell
• Awaiting delivery of specialist equipment e.g. Hospital bed
• Staff shortages on Hospital Discharge Team due to annual leave/sickness
How to Make Things Better
• Improved knowledge of different roles within the discharge planning process
• Improved communication, including correctly completed section 2 forms