Using trusted assessors to carry out a holistic assessment of need avoids duplication and speeds up response times so that people can be discharged in a safe and timely way.
Some things that people have told us about what works and how to overcome the challenges
- adopting as a key principle that long term assessments are not carried out in hospital
- placing an emphasis on trust – working through the MDT, so staff read each other’s assessments rather than do their own
- co-designing and delivering approaches with care providers and residential homes.
- NHS Improvement, Developing Trusted Assessment Schemes – Essential Elements
- NHS England, quick guide to improving hospital discharge to the care sector
- NHS England quick guide to Discharging to Assess
Examples of local initiatives
High impact change model examples of emerging and developing practice
The model identifies eight system changes that will have the greatest impact on reducing delayed discharge.
Better Care Fund
In June 2013, The Better Care Fund (BCF) was announced requiring the NHS and local government to create a local single pooled budget to incentivise closer working around people, placing their wellbeing as the focus of health and care services, and shifting resources into social care and community services for the benefit of the people, communities and health and care systems.