Charting the experiences of people being discharged from hospital on the Pathway 3 care route

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Summary of report content

The project was identified as a priority by Healthwatch Bristol’s Prioritisation Panel and chosen because it has a strategic alignment with local system development. There is national interest in improving the quality of discharges from hospital. Healthwatch Bristol received 141 responses to the surveys and from these conducted 11 structured interviews and a further 15 open conversations.

 

The transition from one care location to another was the biggest area of concern and includes stories of delays, poor information, and distress. Patients and families want to be involved in conversations about their care and to be informed as early as possible in the process about what the possibilities are.

Care Plans are an integral part of the communication and planning process. 84% of those with one, told us no care options were discussed. Patients, families, and carers said that they were not always sure who to contact if they had concerns. People felt that members of the same team worked well together within the same setting but that this was not usually the case across different teams and separate locations.

Over 40% of staff reported that they sometimes felt that pressure to reduce the length of stay impacted upon the quality of care they gave, and that resources and equipment were often inadequate for patient needs.

Moving between wards during the hospital stay was highlighted as an issue for by both families and staff.

The effect of Covid-19 on availability of social workers for these patients was mentioned as a concern.

The report contains 8 recommendations.

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General details

Report title 
Charting the experiences of people being discharged from hospital on the Pathway 3 care route
Local Healthwatch 
Healthwatch Bristol
Date of publication 
Wednesday, 25 May, 2022
Date evidence capture began 
Friday, 1 October, 2021
Date evidence capture finished 
Thursday, 31 March, 2022
Key themes 
Communication between staff and patients
Holistic support
Information providing
Quality of care
Service delivery organisation and staffing

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Structured interview
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 
Discharge lounge
Inpatient care
Social care services 
Adult social care
Residential care home
Other services 
Equipment service

Details about conditions and diseases

What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
141
Age group 
18-24 years
25-64 years
65-85 years
85 +
Gender 
Female
Male
Transgender
Ethnicity 
Asian / Asian British
Black/ African / Caribbean / Black British
Other ethnic group
White
Sexual orientation 
Bisexual
Heterosexual
Homosexual
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Doctors
Nurses
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
Is there evidence of impact external to the report? 
Not known
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.