University Hospital Lewisham: Report on patient discharge

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Summary of report content

Healthwatch Lewisham engaged with 72 patients at the University Hospital Lewisham, to gather their views about hospital discharge, between March and May 2017. The work was done as part of a programme of engagement on hospital discharge in Lewisham. The report identifies a number of key issues. There is no clear procedure or an agreed plan in place for hospital discharge. Relatives or carers of the patient were not consistently informed when a patient is discharged. Communication between staff and patients was described as ‘good’. However, communication between the nursing staff and consultants or doctors was not always updated regularly. One patient said, “I was discharged too soon and ended up straight back in hospital within 24 hours…. I was told that I was going home at 9.00 but I was still in the hospital at 17:00…. By the time I got home I was feeling poorly and my daughter called 999 and I was readmitted to University Hospital Lewisham”. The report made 13 recommendations. It generally recommends that staff follow the trust’s policy where it is available. In response, the trust welcomed the report and found it informative to help the trust continue improve their service to patients. A detailed and comprehensive response has been incorporated in the report.

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General details

Report title 
University Hospital Lewisham: Report on patient discharge
Local Healthwatch 
Healthwatch Lewisham
Date of publication 
Wednesday, 28 June, 2017
Date evidence capture began 
Saturday, 2 March, 2019
Date evidence capture finished 
Thursday, 25 May, 2017
Type of report 
Report
Key themes 
Communication between staff and patients
Continuity of care
Discharge
Information providing
Quality of care
Quality of staffing
Healthwatch reference number 
Rep-1380

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Structured interview
Unstructured Interview
How was the information collected? 
Visit to provider

Details of health and care services included in the report

Secondary care services 
Discharge lounge

Details of people who shared their views

Number of people who shared their views 
72
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
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? 
Yes
Types of health and care professionals engaged 
Administrative
All care professionals
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
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Implied Impact
Tangible Impact (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.