Hospital Admission and Discharge Pathways Network

Pratima Solanki

Pratima Solanki

Chair: Pratima Solanki, Adult Care Services, People Department, LB Croydon

Membership: This network is open to representatives from Local Authorities, CCGs, Acute Trusts and Community Provider Trusts in London to support implementation of the discharge element of the A&E improvement plan


Key Aims for 2017/18

  • Focus on simple discharge – support social care engagement in the establishment of a systematic process to review the reasons for any inpatient stay that exceeds six days and monitor progress using the ‘stranded patient metric’ by November 2016;
  • Embed ‘home first: discharge to assess’ ways of working, based on forthcoming guidance and best-practice to be published by NHSE in Sep 2017. Local leaders to establish which acute trusts operate a discharge to assess scheme and establish schemes, or implement plans to increase numbers on D2A pathway by March 2017;
  • Embed ‘trusted assessor’ ways of working by identifying where ‘trusted assessor’ arrangements could remove any delays. Agree ways of working and design new systems and streamlined documentation; formalising these arrangements where necessary and helpful. Roll-out by Jan/Feb 2017;
  • Implement recently-published policy on supporting patients’ choices to avoid long hospital stays – adapt local policies and ensure agreement and roll-out by Nov 2016;
  • Reduce the number of NHS CHC screenings and full assessments taking place in an acute location, based on known best practice, by November 2016. Improve local intelligence about CHC delays with improved data collections and CCG accountability;
  • Increase proportion of patients receiving RRR (rehabilitation, recovery and reablement – a form of intermediate care) care in home or community settings;
  • Reduce the overall number of delayed transfers of care and associated lost bed days.

Resources

Some links may be unavailable if you are not registered with the appropriate network


Recent News

Putting people first: see them as an individual – John Powell’s blog

The health and social care system should enable the needs of vulnerable people to be met quickly and without any barriers. However, my experience as a public servant was of[...]

Mental Capacity Act (MCA) Study Day at St Christopher’s Hospice, to explore the impact of the MCA in Palliative Care and End of Life

On Friday 29th June we are running a Mental Capacity Act (MCA) Study Day at St Christopher’s Hospice, to explore the impact of the MCA in Palliative Care and End[...]

Information for commissioners about dementia services

SCIE website, which is kindly hosting the list of links relevant for commissioners https://www.scie.org.uk/dementia/after-diagnosis/support/commissioners.asp [...]

Future meetings and events

Date/Time Event Notes
04/06/2018
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - June 2018
London Councils, London
03/09/2018
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - September 2018
London Councils, London
03/12/2018
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - December 2018
London Councils, London
04/03/2019
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - March 2019
London Councils, London
03/06/2019
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - June 2019
London Councils, London
09/09/2019
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - September 2019
London Councils, London
02/12/2019
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - December 2019
London Councils, London
02/03/2020
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - March 2020
London Councils, London

Past meetings and events

Date/Time Event Notes
24/04/2018
10:00 am - 3:00 pm
DToC Roadshow - Learning from Winter 2017/18
Emirates Stadium, London

Enter Feedback

A review of local initiatives to manage Delayed Transfers of Care over the 2017/18 winter period. Aims:

  • Share good practice around implementing the High Impact Change Model
  • Use the learning from 17/18 winter to plan for 18/19 winter
  • Review high impact change model self-assessment and implementation progress – this will be supported by a range of system leaders.
05/03/2018
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - March 2018
London Councils, London
11/12/2017
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - December 2017
03/11/2017
12:30 pm - 4:00 pm
DToC Counting Workshop (Nov 2017)

 

17/10/2017
10:00 am - 3:00 pm
DToC Roadshow - Preparing for Winter 2017
18/09/2017
12:30 pm - 5:00 pm
London Home First Workshop (AHP / D2A)
04/09/2017
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - September 2017
01/08/2017
10:00 am - 4:00 pm
DToC Roadshow

 

 

12/06/2017
2:00 pm - 5:00 pm
Hospital Admission & Discharge Pathways Network - June 2017
19/05/2017
9:30 am - 4:00 pm
No More Time “On Hold” - Reducing Delays in Mental Health Trust Discharges

Presentation slides

 

13/02/2017
1:00 pm - 4:30 pm
DToC - Tackling the 'Wicked Issues' Workshop

Presentation slides

18/10/2016
10:00 am - 3:00 pm
DToC Roadshow (October 2016)

Presentation slides

12/09/2016
2:00 pm - 5:00 pm
Hospital Admission and Discharge Pathways Network

Surveys

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