{"id":123,"date":"2017-08-22T13:50:27","date_gmt":"2017-08-22T13:50:27","guid":{"rendered":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/?p=123"},"modified":"2017-08-24T08:37:56","modified_gmt":"2017-08-24T08:37:56","slug":"improving-discharge-planning-in-nhs-hospitals","status":"publish","type":"post","link":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/2017\/08\/22\/improving-discharge-planning-in-nhs-hospitals\/","title":{"rendered":"Improving discharge planning in NHS hospitals"},"content":{"rendered":"

Factors that need to be considered in discharge planning that have been identified in previous projects include:<\/p>\n

    \n
  1. Ensuring that discharge arrangements are discussed with patients, family members and carers; and that they are given a copy of the discharge summary.<\/li>\n
  2. Adequate coordination between the hospital, community health services, general practices, and the providers of social care services.<\/li>\n
  3. There is a follow-up after discharge of patients at high risk of complications or readmission – either in person or by telephone – to ensure that the discharge arrangements are working well.<\/li>\n
  4. Medicines reconciliation is carried out. This is the process of verifying patient medication lists at a point-of-care transition, such as hospital discharge, to identify which medications have been added, discontinued, or changed from pre-admission medication lists.<\/li>\n
  5. Ensuring that any outstanding test results at discharge are obtained and passed on to primary care teams; and ensuring there are clear arrangements for carrying out and acting on any proposed post-discharge tests. In general, dealing with tests results is the responsibility of the clinical team that carried out the test.<\/li>\n
  6. Give patients clear instructions about any post-discharge tests that are needed and how these will be carried out.<\/li>\n
  7. Ensure that hospitals comply with the National NHS Standard Contract – for example, issuing Fit Notes for the expected duration of sick leave and supplying patients with an adequate amount of medication.<\/li>\n<\/ol>\n

    A useful summary of previous work on discharge planning (mainly based on US studies) can be viewed in\u00a0UpToDate<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Factors that need to be considered in discharge planning that have been identified in previous projects include: Ensuring that discharge arrangements are discussed with patients, family members and carers; and that they are given a copy of the discharge summary. Adequate coordination between the hospital, community health services, general practices, and the providers of social […]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[404],"tags":[262917],"class_list":["post-123","post","type-post","status-publish","format-standard","hentry","category-health","tag-discharge-planning"],"_links":{"self":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/123","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/users\/1115"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/comments?post=123"}],"version-history":[{"count":4,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/123\/revisions"}],"predecessor-version":[{"id":136,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/123\/revisions\/136"}],"wp:attachment":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/media?parent=123"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/categories?post=123"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/tags?post=123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}