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.

Click here to view the full report.

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Leaving hospital: Briefing on discharge from mental health inpatient services

MIND, December 2017

Briefing on standards that those being discharged from hospital, after a mental health crisis, should expect out in terms of planning and follow up.  However, despite examples of excellent practice that show what can be done, MIND have  heard from hundreds of people whose experience does not measure up.  This briefing gives examples of good practice.

Click here to view the standards.

Lack of support after hospital doubles readmissions for older people

Royal Voluntary Service, November 2014

Older people returning home from hospital without enough support are more than twice as likely to be readmitted within three months, according to a new report published by the Royal Voluntary Service.

The findings of the report reveal in the last five years almost 200,000 people aged over 75 returned home from hospital without the support they needed to look after themselves, and thousands of readmissions could be prevented if they received more help at discharge.

Click here for further information and to download the report.