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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.

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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.