The experiences of Bexley residents leaving hospital through the Discharge to Assess and Reablement schemes

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Summary of report content

Healthwatch Bexley carried out a small snapshot study to look into the experiences and views of 41 local people who were discharged from hospital between May 2018 and February 2019 under the Discharge to Assess (D2A) and Reablement schemes. 

Key findings included: 85% of people stated they felt ready to leave hospital when they were discharged; three quarters of people rated the quality of care they received after discharge as either ‘good’ or ‘very good’; 85% of people felt that their views were taken into consideration when the social worker came to talk about what help they might need; 85% of people thought that the help they received covered their care needs at home; only 17% of people had been readmitted to hospital in the past three months. People told Healthwatch Bexley that it was important their care workers were friendly and took the time to talk to them. They also valued continuity and wanted to see the same carer or group of carers on a regular basis. People also said that it was important that their carers arrive on time, and at an appropriate time for the tasks they are there to complete.

Healthwatch Bexley made four recommendations in the report: all patients should be happy and feel ready to be discharged from hospital; all agencies involved with the D2A process must continue to take patients’ and carers’ views into consideration; all patients discharged via the D2A pathways should be provided with leaflets about the service being provided and feedback forms for them to comment if they wish to do so; more changeover time should be built into care worker schedules to protect against lateness, and communication needs to be improved when care schedules are affected.

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General details

Report title 
The experiences of Bexley residents leaving hospital through the Discharge to Assess and Reablement schemes
Local Healthwatch 
Healthwatch Bexley
Date of publication 
Wednesday, 5 June, 2019
Type of report 
Key themes 
Communication between staff and patients
Continuity of care
Information providing
Quality of care
Service delivery organisation and staffing
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
Structured interview
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Community services 

Details of people who shared their views

Number of people who shared their views 
Age group 
Specific ethnicity if known 
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

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.