Hospital Discharge Report, East Riding of Yorkshire

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Summary of report content

In November 2016, Kingston upon Hull, East Riding of Yorkshire Healthwatch carried out an Enter and View visit to Hull Royal Infirmary. The purpose of the visit was to gather patients’ experience of being discharged from hospital and to give an external perspective on the discharge lounge environment/experience for patients. The following areas were highlighted within the report: the environment and accessibility; safety; policies, procedures, and care plans; patient experience; privacy, dignity, and respect; staff; leadership; and overall effectiveness. Seven patients were spoken to in the discharge lounge and all of the patients expressed overall happiness with the care received as an in-patient. However, some patients felt that the discharge process had been rushed and that they did not have enough information, or the information given had been conflicting. The report makes the following recommendations: • Ensure all the hospital wards/units understand the process of admission to the discharge lounge to prevent surprise arrivals • Consider the need for information leaflets in the unit • Consider reinstating the Hearing Loop. • Review procedures for communication between patients and staff regarding the purpose of the unit and the reason they are transferred there. • Medication delays – consider reviewing the potential causes of delay • Seek to reduce length of stay Within the report the provider response has been included which covers all the recommended areas but in in general states that the overall assessment of the facility was accurate and a number of the recommendations would be helpful in creating a smoother discharge process and transitional environment from hospital to discharge destination.

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General details

Report title 
Hospital Discharge Report, East Riding of Yorkshire
Local Healthwatch 
Healthwatch East Riding of Yorkshire
Date of publication 
Tuesday, 4 April, 2017
Date evidence capture began 
Monday, 28 November, 2016
Date evidence capture finished 
Monday, 28 November, 2016
Type of report 
Report
Key themes 
Access
Communication between staff and patients
Discharge
Information providing
Medication
Healthwatch reference number 
Rep-6462

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
What type of organisation requested the work 
N/A
Primary research method used 
Observation
How was the information collected? 
Visit to provider
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
Discharge lounge

Details of people who shared their views

Number of people who shared their views 
7
Age group 
Not known
Gender 
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? 
Not known
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Nurses
Service manager
Does the information include other people's views? 
Not known
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? 
No

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.