High impact change model

The high impact change model offers a practical approach to manage transfers of care. It can be used to self-assess how local care and health systems are working now, and to reflect on, and plan for, action they can take to reduce delays throughout the year.

The model identifies eight system changes which will have the greatest impact on reducing delayed discharge:

  • early discharge planning
  • systems to monitor patient flow
  • multi-disciplinary/multi-agency discharge teams, including the voluntary and community sector
  • home first/discharge to assess
  • seven-day services
  • trusted assessors
  • focus on choice
  • enhancing health in care homes.
High impact change model COVER
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