'Hospital to Home' Research Report

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Summary of report content

Healthwatch Stockport  undertook research on hospital discharge to gain a deeper understanding of the experiences of individuals being discharged from Stepping Hill Hospital and requiring social care and support services back home. They wanted to influence local health and care service commissioning and provision to improve the quality, support, and overall experience of local people using health and care services. They heard from 35 individuals and carers who have been in hospital and discharged back home/or another place of care., who also required additional social care and support needs. 

People's experiences were mixed.  Whilst there were positive highlights there were several areas of concern and opportunities for improvement. Many patients and their families reported insufficient involvement in discharge preparations and a lack of clear communication regarding discharge plans. Delays and last-minute changes to discharge timing, as well as inconsistent coordination of transportation, further compounded the stress and confusion experienced by patients. Additionally, the quality of discharge assessments and care plans varied significantly, leaving some patients uncertain about their next steps once they were back home.

Despite these challenges, there were several positive aspects noted in the feedback. Staff were frequently praised for their care and support, with many patients expressing gratitude for the attentiveness and professionalism of the REaCH (Reablement and Community Home Support) Team. Effective discharge planning was highlighted in some cases, particularly in departments like urology, where patients felt well-informed and supported and most patients regardless of the department where they were being discharged from recognised the work force challenges and how busy staff were.

The report includes recommendations on better communication methods for patients and their families, having discharge champions, volunteers in the transfer lounge, providing more advance notice of discharge dates, ensuring detailed care plans are communicated clearly and improving coordination between hospital and social care services.

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General details

Local Healthwatch
Healthwatch Stockport
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Caring, kindness, respect and dignity
Communication with patients; treatment explanation; verbal advice
Consent, choice, user involvement and being listened to
Discharge
Integration of services and communication between professionals
Service organisation, delivery, change and closure
Written information, guidance and publicity

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Interviews
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

Details of health and care services included in the report
Adult social care, including care packages and social workers
Discharge lounge/ discharge team/ discharge to assess
Inpatient care/General inpatients

Details of people who shared their views

Number of people who shared their views
35
Does this report feature carers?
Yes
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