Admissions Prevention and Facilitated Discharge Service Evaluation

Applied Health and Wellbeing Partnership, September 2018

Over 70% of hospital bed days are occupied by emergency admissions, and over 80% of emergency admissions who stay for more than two weeks are patients aged over 65.  Older people are the main adult users of NHS health and social care services, at any one time occupying more than two thirds of acute hospital in-patient beds.  Understanding and preventing avoidable admissions is a pressing issue, especially with NHS budget restraints, an increasing ageing population, and the demand for care closer to home.

The Admissions Prevention and Facilitated Discharge service was developed in Wirral to reduce the incidence of hospital admissions and facilitate a timely supported discharge process for those admitted into hospital.  The service provides interventions such as increased packages of care within the patient’s home, rapid access to respite and twenty four hour care nursing beds, access to therapies, facilitation of early supported discharge from hospital into alternative community settings, and the service also supports patients into long term care placements where necessary. The service was evaluated to explore the views and experiences of healthcare professionals and family members of patients who had recently used the service.

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