Better care plan engagement report: evaluation of the choice policy at Salisbury District Hospital

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Summary of report content

This report is part of Healthwatch Wiltshire’s Better Care Plan work. Healthwatch Wiltshire is working with the Better Care Plan programme partnership (Wiltshire Council and the Clinical Commissioning Group) to assist in meeting its aim to see health and social care integrated by 2020. The aim of this project was to gather views on the discharge process with a particular focus on choice, involvement and information provision. The information gathered will be shared with Salisbury District Hospital to enable them to ensure the best possible discharge outcome for every patient. The summary of findings and conclusion states; over the last 12 months Salisbury District Hospital has taken a number of steps to improve the hospital discharge process. One of the areas that has seen improvement has been in the development of a multi professional IDT which was established in February 2017. It is clear that a great deal of work has been undertaken by the Head of Integrated Discharge in building up networks with local care homes, and has strong links with local care homes and home care providers. While there has been significant progress in recent years on getting people home from hospital faster, it is important that this is done safely with people able to get the support they need to recover. The recommendations included in the report are; raise with Commissioners the difficulties with patient transport and the need to introduce a responsive patient transport system, with timeslots available for booking on the day (not the current 4hr window). Ensure that all patients and carers are involved directly in the assessment and discharge process. Carry on the good practice of further developing a multi disciplinary IDT who collaboratively work together to improve coordination between different services to ensure the safe and timely discharge of patients from Salisbury District Hospital. Continue to work with partners to reduce delayed transfers of care, particularly cross border partners. Continue the good practice of initiatives such as Home First, Home from Hospital service and ‘end PJ Paralysis’ and ensure that all ward staff are aware of their existence. Improve communication between patients, families, adult social care and other professionals. Review and amend patient information using Healthwatch Wiltshire’s guidance as a starter.

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General details

Report title 
Better care plan engagement report: evaluation of the choice policy at Salisbury District Hospital
Local Healthwatch 
Healthwatch Wiltshire
Date of publication 
Saturday, 31 March, 2018
Date evidence capture began 
Thursday, 1 March, 2018
Date evidence capture finished 
Thursday, 1 March, 2018
Type of report 
Report
Key themes 
Continuity of care
Quality of care
Quality of regulation
Quality of staffing
Quality of treatment
Healthwatch reference number 
Rep-7338

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
If this work has been done in partnership, who is the partner? 
Better Care Plan programme partnership (Wiltshire Council and the Clinical Commissioning Group)
Primary research method used 
Survey
How was the information collected? 
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Secondary care services 
Acute services with overnight beds
Acute services without overnight beds / listed acute services with or without overnight beds

Details of people who shared their views

Number of people who shared their views 
32
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.