Female doctor visits elderly patient at home.

More community services needed for early-discharged patients

A report by Healthwatch England published today (Oct 26) has revealed the knock-on effects that the Government’s early Discharge to Assess model has had during the Coronavirus pandemic.

The report gathers opinions from 590 people who had been discharged early from hospital in order to clear beds to prepare for the impending surge from Covid-19 patients.

The report concluded that while discharge to assess can be incredibly beneficial to patients’ mental and physical, services sometimes fall short of expectations due to a lack of community services available to patients.

According to Healthwatch England’s report, over 80% of patients reported that they didn’t receive any follow-up visit and assessment at home, with almost one in five of these reported unmet care needs.

In a blog post for the British Medical Journal, Chair of Health Watch England, Robert Francis, said:

“As we ramp up for a tough winter, I urge anyone reading our report to focus on the simple solutions we put forward. For example:

  • Guaranteeing everyone a point of contact after discharge should they need help (it’s in the guidance but needs to be standard practice)
  • Avoiding discharging patients at night
  • Always asking patients about their transport arrangements home
  • And if they have to be discharged without knowing their Covid status, carrying out a proper risk assessment to help families and carers prevent any infection.

Some of this can be fixed and fixed right away.

There were of course some bigger and more systemic issues highlighted. In particular the lack of resourcing in community services and social care.  We will continue to raise these with the government as they develop their thinking on reform.”

NHE July/August 21

NHE July/August 21

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NHE’s July/August 2021 edition focuses on some of the key, defining aspects of a successful, supported health service: Mental Health & Workforce. Elsewhere, we take on the incredibly topical Infection Prevention and address the role which Pharma will play in both our NHS and wider health environment.


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NHE365 Virtual Festival: Net-Zero NHS

As was outlined by Sir Simon Stevens when the NHS announced their green plans back in 2020, 5,700 lives could be saved each year by improved air quality. Even more could see their overall health improve and be in a position to self-manage their conditions, rather than requiring NHS treatment. Covid-19 has already left the NHS with a sizeable treatment backlog, so anything which can be done to improve patient health and reduce demand is beneficial for all.

Working together, we can help the NHS realise its green ambitions as per the Net-Zero National Health Service report and its ambitious 2040 target. Join us on August 25, 2021 for our Net-Zero NHS event, where we will be joined by health sector leaders and innovators for a day of sharing best practice and networking.

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On Episode 14 of NHE's Finger on the Pulse podcast, we're joined by Professor Craig Jackson, Professor of Occupational Health Psychology
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