Going Home pilot project learning and next steps

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Summary of report content

Healthwatch Lambeth and Heathwatch Southwark created the 'Going Home' pilot project to test out an approach for building a picture of older people’s experiences of health and social care services following a stay in hospital. This report presents the project’s key findings, maps how the insights have been used to date, and explores next steps. The project was devised in response to the need for a better understanding of current transfer of care experiences during and after hospital discharge – particularly the longer view of a patient’s recovery journey. It involved tracking the patient journeys of 9 older patients - five people who were discharged from St Thomas’ Hospital and four people discharged from King’s College Hospital. Some of the key findings included: · Participants reported generally good care during their stay in hospital; however, all were keen to leave. · In addition to health fluctuations, most of our interviewees described feeling out of control, isolated and unhappy about their situations, which undermined their psychological wellbeing and affected their sense of recovery; notably, these feelings were experienced by family carers as well as those recovering from their hospital stay. · Care from different agencies often appeared slow or disjointed, such as a two-week wait for a district nurse visit to replace dressings, lack of awareness about someone’s preferred name and prescription delays Outputs from the project included: - A report on the Southwark step-down pilot was published in February 2017 - A welcome pack for step-down scheme participants was created - The experiences of our project participant discharged straight home was developed into a short film commissioned by both CCGs for the Quality Summit. It has since been used more broadly as a practitioner training resource to show the range of factors affecting the transfer of care and recovery journey. - In summer 2016, the ‘Going Home’ pilot methodology was featured in an NHS quick guide 'on Discharge to Assess' as an example of patient engagement and feedback.

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General details

Report title 
Going Home pilot project learning and next steps
Local Healthwatch 
Healthwatch Lambeth
Healthwatch Southwark
Date of publication 
Friday, 1 December, 2017
Date evidence capture began 
Tuesday, 1 September, 2015
Date evidence capture finished 
Friday, 30 June, 2017
Type of report 
Report
Key themes 
Communication between staff and patients
Continuity of care
Discharge
Information providing
Lifestyle and wellbeing
Referrals
Support
Healthwatch reference number 
Rep-5817

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
User stories
How was the information collected? 
Research
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 
Inpatient care
Social care services 
Adult social care
Assisted living
Residential care home
Community services 
Community healthcare and nursing services

Details of people who shared their views

Number of people who shared their views 
9
Age group 
All people over the age of 65
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? 
Yes
Does the information include staff's views? 
No
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? 
No
Does the information contain a response from a provider? 
No
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? 
Tangible impact (not cost related)

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.