West Sussex Horsham District Insight on Hospital Admissions Report

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Summary of report content

Healthwatch West Sussex held several engagement events in July and September 2017 with older people from Horsham and relevant organisations asking about the general experience of hospital admission and discharge to local hospitals. The work was done in partnership with Horsham District Older Peoples Forum, third sector organisations and health and social care providers. The report identifies a number of key issues around hospital admission and discharge including: Communication and information: general need for better communication between hospital staff and patients. There needed to be improved written information about the admissions, discharge and medication. Transport to and from and parking at the hospitals was the most commonly raised negative issue. This included problems with public transport, Community and Voluntary Transport Services, Non-Emergency Patient Transport Services. Issues of lack of information, delays in arrival and pick up and long journeys home. Parking issues included lack of spaces and prohibitive costs. Issues were also raised in relation to the discharge process: a lack of clear information, long delays in being discharged, long waits for medication, being forced to return home to early, discharged without an agreed care plan or information about services in the community. Positive experiences were also referenced in the report: 71% of the people who answered survey questions about their hospital experience felt they had a good experience. Recommendations and guidance made in the report included a list of 'Top Tips' for older people to improve the hospital experience, a review of the effectiveness of Community Transport services, a review of parking arrangements and improved communication and information about the admissions and discharge process.

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General details

Report title 
West Sussex Horsham District Insight on Hospital Admissions Report
Local Healthwatch 
Healthwatch West Sussex
Date of publication 
Tuesday, 17 October, 2017
Date evidence capture began 
Saturday, 1 July, 2017
Date evidence capture finished 
Friday, 1 September, 2017
Type of report 
Report
Key themes 
Admission
Car parking access
Communication between staff and patients
Discharge
Information providing
Prescription
Quality of patient transport
Waiting time to be seen once arrived at appointment
Healthwatch reference number 
Rep-1723

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Other local body
If this work has been done in partnership, who is the partner? 
Horsham District Older Peoples Forum.
Primary research method used 
User stories
How was the information collected? 
Engagement Event
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

Primary care services 
Urgent care services
Secondary care services 
Acute services with overnight beds
Appointments
Discharge lounge
Accident & emergency
Urgent and emergency care services 
Accident & emergency

Details about conditions and diseases

Types of disabilities 
Not known
Types of long term conditions 
Not known
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
72
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? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
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? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Yes
What type of impact was determined? 
Implied Impact

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.