Managing transfers of care

Supporting councils and their care and health system partners to identify solutions to effectively manage patient discharge from hospital to home.


Local care and health systems are committed to minimising unnecessary hospital stays and providing the best social care support for people. We are working with councils and the sector to identify the challenges and barriers and work towards positive solutions that maintain a focus on the people that use the services.

If you would like to share learning from your own practice, have additional material to contribute or updated information on any of the current examples, please contact

Reducing delayed transfers of care: joint improvement and support offer

A summary of the current and planned national offers to support local health and care systems to deliver improvements to managing transfers of care. Offers are split into five key themes: data and measurement, capacity management, process and pathways, system relationships and patient, communities and staff engagement. To discuss any aspect of this national offer to care and health systems locally please contact

Addressing the challenges of delays to transfers of care

‘Why Not Home? Why not today?’ describes practical, collaborative approaches to tackle the complex and long-term challenges of delayed transfers from hospital settings keeping the patient as the focus.

The report will be of interest for health and social care, commissioners and providers. It explores the behaviours, findings and key causes identified in the analysis of three areas – Sheffield, North Cumbria and Fylde Coast. It offers tangible suggestions for how others might use this experience to tackle delays in their own health and social care systems.

‘Why Not Home? Why not today?’ and supporting PowerPoint presentations of key findings and an interactive slide pack for workshops are available from our transfers of care resources page. Or you can access them direct from the Better Care Exchange. Registered users will need to log in to access while new users may request access from the platform manager.