Summary of report contentBetween May and October 2014, Healthwatch Bedford Borough conducted research to gather the views and experiences of people being discharged from hospital. In order to reach as many people as possible they developed a questionnaire, conducted five announced Enter and View visits , and held four focus groups to reach the homeless, the elderly, and people with mental health conditions of people. These three groups had been identified by Healthwatch England as being particularly at risk if hospital discharge was not carried out effectively. The report notes that communication between teams and organisations plays a crucial role and regular, face to face meetings between and within organisations is what works best. Many organisations, such as those providing support for the homeless, were not always included in the discharge process. On the other hand, according to the findings, the complex discharge team at Bedford Hospital has made significant improvements to patients’ journeys. The overall experience of discharge from Bedford Hospital was good with 81% of patients recommending Bedford Hospital to their family and friends. While there are many positives in this review, there are also individual cases where patients had been let down. The Enter and View reports were sent, and responded, to by the individual providers so there is evidence of improvements having already been made as a result of this piece of work. These improvements include: updated signage in the Bedford Hospital discharge lounge; a group of care home and nursing home managers has been formed to develop processes for discharges to care homes and; Bedford Borough teams are working closely with the hospital trusts to develop good multi agency teams. The reports finishes with three recommendations: improved communication with family members, between and within teams and with outside support organisations; a discharge information pack with information regarding the expected pathway be given to patients on admission; quick access to medication on the day of discharge. These final recommendations have been disseminated with the report to all those involved in the commissioning and provision of services with an invitation to work with Healthwatch Bedford Borough to ensure the improvements are implemented.
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Review of discharge in Bedford Borough
Healthwatch Bedford Borough
Date of publication
Thursday, 20 November, 2014
Date evidence capture began
Thursday, 1 May, 2014
Date evidence capture finished
Friday, 31 October, 2014
Type of report
Communication between staff and patients
Continuity of care
Integration of services
Lifestyle and wellbeing
Service delivery organisation and staffing
Healthwatch reference number
Was the work undertaken at the request of another organisation?
What type of organisation requested the work
Primary research method used
How was the information collected?
If an Enter and View methodology was applied, was the visit announced or unannounced?
Secondary care services
Acute services with overnight beds
Psychiatry/mental health (hospital services)
Accident & emergency
Types of disabilities
Types of long term conditions
Mental health condition
What type of pregnancy or maternity themes are included in the report
Number of people who shared their views
All people 18 and over
Mixed / multiple ethnic groups
Other population characteristics
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
All care professionals
Allied health care professionals
Care / support workers
Does the information include other people's views?
What was the main sentiment of the people who shared their views?
Were recommendations made by local Healthwatch in the report?
Does the information contain a response from a provider?
Yes action has been taken or promised
Is there evidence of impact in the report?
Is there evidence of impact external to the report?
What type of impact was determined?
Tangible Impact (cost related)
Tangible impact (not cost related)