Experiences of discharge to assess pathways in Coventry

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Summary of report content

We looked at the care of those after hospital discharge provided under three programmes (pathways) of care and support aimed at either enabling individuals to regain their ability to live independently or to have their ongoing care needs assessed once they are discharged from hospital.

We did this work due to  concerns related to the home support element of the Discharge to Assess identified through our  2017-18 work gathering user feedback on home support/care

This report presents the experiences of 47 people. The people we spoke to were some of the frailest and most vulnerable, who sometimes do not have their voice heard. We also spoke to service managers and workers.

We looked at discharge to a person's home and the home care/support put in place; discharge to a bedded facility either in a care home bed or in a housing with care flat and discharge to a nursing home bed for assessment. We made visits to care homes and interviewed people in their homes.

We identified cross cutting themes and areas for development. Found good practice in multi agency working at a worker level. We made 14 recommendation.

A comprehensive action plan co-ordinated by Coventry City Council is included as response. In addition we have followed up by convening an information task group across agencies to improve information provision to patients.

 

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General details

Report title 
Experiences of discharge to assess pathways in Coventry
Local Healthwatch 
Healthwatch Coventry
Date of publication 
Sunday, 30 June, 2019
Date evidence capture began 
Thursday, 25 October, 2018
Date evidence capture finished 
Wednesday, 6 February, 2019
Type of report 
Report
Key themes 
Discharge

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Structured interview
How was the information collected? 
Research
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Social care services 
Assessment
Home care / domiciliary care
Nursing care home
Residential care home
Community services 
Community healthcare and nursing services
Other services 
Equipment service

Details of people who shared their views

Number of people who shared their views 
65
Age group 
All
Gender 
All
Ethnicity 
Mixed / multiple ethnic groups
Sexual orientation 
Not known
Other population characteristics 
People with limited family or social networks
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? 
Not applicable
Types of health and care professionals engaged 
Care / support workers
Service manager
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.