{"id":123,"date":"2017-08-22T13:50:27","date_gmt":"2017-08-22T13:50:27","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?p=123"},"modified":"2017-08-24T08:37:56","modified_gmt":"2017-08-24T08:37:56","slug":"improving-discharge-planning-in-nhs-hospitals","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2017\/08\/22\/improving-discharge-planning-in-nhs-hospitals\/","title":{"rendered":"Improving discharge planning in NHS hospitals"},"content":{"rendered":"

Factors that need to be considered in discharge planning that have been identified in previous projects include:<\/p>\n

    \n
  1. Ensuring that discharge arrangements are discussed with patients, family members and carers; and that they are given a copy of the discharge summary.<\/li>\n
  2. Adequate coordination between the hospital, community health services, general practices, and the providers of social care services.<\/li>\n
  3. There is a follow-up after discharge of patients at high risk of complications or readmission – either in person or by telephone – to ensure that the discharge arrangements are working well.<\/li>\n
  4. Medicines reconciliation is carried out. This is the process of verifying patient medication lists at a point-of-care transition, such as hospital discharge, to identify which medications have been added, discontinued, or changed from pre-admission medication lists.<\/li>\n
  5. Ensuring that any outstanding test results at discharge are obtained and passed on to primary care teams; and ensuring there are clear arrangements for carrying out and acting on any proposed post-discharge tests. In general, dealing with tests results is the responsibility of the clinical team that carried out the test.<\/li>\n
  6. Give patients clear instructions about any post-discharge tests that are needed and how these will be carried out.<\/li>\n
  7. Ensure that hospitals comply with the National NHS Standard Contract – for example, issuing Fit Notes for the expected duration of sick leave and supplying patients with an adequate amount of medication.<\/li>\n<\/ol>\n

    A useful summary of previous work on discharge planning (mainly based on US studies) can be viewed in\u00a0UpToDate<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Factors that need to be considered in discharge planning that have been identified in previous projects include: Ensuring that discharge arrangements are discussed with patients, family members and carers; and that they are given a copy of the discharge summary. Adequate coordination between the hospital, community health services, general practices, and the providers of social […]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[404],"tags":[262917],"class_list":["post-123","post","type-post","status-publish","format-standard","hentry","category-health","tag-discharge-planning"],"yoast_head":"\nImproving discharge planning in NHS hospitals - Medical Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2017\/08\/22\/improving-discharge-planning-in-nhs-hospitals\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improving discharge planning in NHS hospitals - Medical Centre\" \/>\n<meta property=\"og:description\" content=\"Factors that need to be considered in discharge planning that have been identified in previous projects include: Ensuring that discharge arrangements are discussed with patients, family members and carers; and that they are given a copy of the discharge summary. 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