North Somerset special enquiry discharge

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Summary of report content

To contribute to the special enquiry, Healthwatch North Somerset chose to seek the views of service users at a local drop in centre for the homeless and vulnerably housed. Healthwatch North Somerset e chose to engage informally, through attending a drop in session, and Healthwatch North Somerset chose to focus on this specific group of people, as they are particularly vulnerable and never more so on discharge from hospital. This method of engagement enhances the ability of this hard to reach group to engage more effectively than a more formal survey. Added to this, they are also a group in society who are hidden, whose voice is seldom heard and who are often excluded from more formal methods of engagement. The two community engagement workers from Healthwatch North Somerset spent two mornings at the centre in Weston super Mare and spoke in depth to the coordinator on duty as well as to service users. The sample was small, as this is a very hard to reach group and it is impossible to know in advance how many people will show up on any given day, our study was designed to be qualitative in approach and provide a snapshot view of several individual’s personal experiences. The responses received from each case study give an insight into some individual experiences in North Somerset at Weston General Hospital. In the course of analysing the qualitative data from this enquiry across the country, some correlations may become evident, and it may transpire that these experiences are not unique cases but indicative of wider issues across the country. The findings in the report inform There was a lack of coordination between the Hospital discharge team and community based services. There was a lack of establishing that there was support in place for vulnerable people on discharge, including access to shelter. The service users were unable to articulate their vulnerability and it appears that they weren’t all asked about their personal situations. There was a lack of clarity on discharge and by the service users about any follow up care and/or treatment required. This is a hard to reach and hard to manage group of vulnerable people, some of whom are clearly slipping through the net.

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General details

Report title 
North Somerset special enquiry discharge
Local Healthwatch 
Healthwatch North Somerset
Date of publication 
Tuesday, 1 July, 2014
Date evidence capture began 
Tuesday, 1 July, 2014
Date evidence capture finished 
Tuesday, 1 July, 2014
Type of report 
Report
Key themes 
Discharge
Healthwatch reference number 
Rep-6680

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 
Survey
How was the information collected? 
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 
Acute services with overnight beds
Acute services without overnight beds / listed acute services with or without overnight beds
Discharge lounge

Details of people who shared their views

Number of people who shared their views 
Not known
Age group 
Not known
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? 
No
Does the information include staff's views? 
No
Types of health and care professionals engaged 
N/A
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? 
No
Is there evidence of impact external to 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.