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Arranging care before you leave hospital
If you or someone you know goes into hospital, help and support should be arranged before you go home (are discharged).
This means: • any extra help is arranged, such as visits from a district nurse or paid home help • any equipment is fi tted, such as a raised toilet seat • any home adaptations are made, like grab rails in the bathroom
What happens while you’re in hospital
Hospital staff should contact social services to arrange a discharge assessment. This is so they can fi nd out what help you need when you go home. It doesn’t matter if your hospital stay was planned or an emergency. The assessment can happen in hospital, or they might visit your home. It helps to have a key safe at home, or to leave keys with family or friends. You’ll be involved in the assessment and agree a care plan together. This should include things like: • treatment and care when you get home • who’s in charge of your care and how to contact them • when and how often you need care
Preparing to leave hospital
Hospital staff should make sure: • you can get home • you have your care plan and your care home has a copy, if you live in one • you have any medicine you need and know how to take it • you can use new equipment, such as crutches • your GP knows you have been discharged • you know how to get help from a district nurse if you need it, or when to expect a visit
When you get home from hospital
Temporary care
If you have had a short illness or an operation, you might only need care for a short time to get back to normal. This is called intermediate care, reablement or aftercare. The aim of this type of short-term care is to help you: • look after yourself rather than having someone care for you • stay as independent as possible • avoid unnecessary hospital stays Intermediate care is free for a maximum of 6 weeks. Most people receive this care for around 1 or 2 weeks.
Ongoing care
Soon after you leave hospital, social services will check if your care plan is right. If you’re likely to need care for longer than 6 weeks, they’ll work with you to put a care plan in place. This care isn’t free.
You can complain if you’re unhappy with your hospital discharge, or the discharge of someone you know. For example, if: • the hospital plans to discharge you before you think it’s safe • you don’t think your discharge assessment was done correctly Speak to the hospital staff who arranged your discharge. It might help to get advice from the Patient Advice and Liaison Service (PALS) or the charity POhWER who can provide help with NHS health complaints. Read more about the NHS complaints process here: www.nhs.uk/using-the-nhs/about-the-nhs/how-tocomplain-to-the-nhs/.
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