Right place, right time Working to improve hospital discharge and prevent admissions in South Tyneside South Tyneside Patient Reference Group August 2016

Why look at discharge from hospital?

Community and voluntary sector support Self care and support to stay at home Emergencies and hospital Primary care including community pharmacy

Getting Discharge right Treat people with dignity, compassion and respect; Their needs and circumstances to be considered as a whole – not just their presenting symptoms; Involve people in decisions about their treatment and discharge; To move smoothly from hospital to onward support available in the community; and To know where to go for help once discharged. Healthwatch England Special Inquiry: Safely home July 2015

Building the picture in South Tyneside Voluntary sector Step up/step down GP At home Primary care A&E Pharmacy Hospital Community teams Who else?

Refining the local picture An integrated nursing and adult social care discharge team Shared assessment and discharge plans and consistent documentation in the community Better early discharge planning Assessment by one person and at the right time 7 day working for integrated discharge teams

Sense check! Thoughts Your experiences Things to keep Things to change 3. What’s missing?

Questions and contact gillian.johnson13@nhs.net