Discharge planner

  1. Relatives involved in discharge plans?
  2. Is Physiotherapy required? If yes - provide reason for referral and date
  3. Is Occupational Therapy required? If yes - provide reason for referral and date
  4. Does patient require Package of Care or restart (Date agency informed). Package of Care?

SOCIAL SERVICES

  1. Does the patient require Social Services input? Section 2 date faxed to social services
  2. Does patient require days assessment at a residential home? If so:
  • Transport arranged
  • Patient has own equipment for assessment
  • Patient has medication for the day
  • Patient has own clothes for assessment
  1. Residential/Nursing Home informed of discharge? Home assessment date/outcome:
  2. Residential/Nursing Home accepted patient back?
  3. Is Continuing Care Assessment required? If so please confirm dates for the following:
  • Health Needs Assessment (HNA) started
  • HNA completed
  • Decision Support Tool (DST)
  • Planned date of NHS funded healthcare assess.
  • Outcome date from assessment
  1. Has Next of Kin been informed about theseassessments and invited to attend?
  2. Is fast track required? Date referred:
  3. Is case conference/family meeting required?If so state named person for coordination and date set
  4. Is intermediate care/integrated rehab servicerequired?If yes please note details:referral, accepted, start

PREPARATION FOR DISCHARGE

  1. Is patient medically fit?Supply date
  2. Have physiotherapy discharged the patient?Supply date
  3. Have OT discharged the patient? Supply date.Access Visit: Date planned;Date completed
  • Social Service Contact Assessment completed
  • Section 5 fax to social services hospital requires to discharge patient on (date)
  • Are services in place for discharge?

Date started

Date completed

Section 2 Date

Section 5 Date

  1. Have Social Services discharged the patient?
  2. Does the patient require equipment? If yes: (continue on reverse)
  3. Has it been ordered?
  4. Delivery date
  5. Date delivered
  6. Is oxygen required? If so, has it been ordered? Delivery date
  7. Does patient require TTOs? If so:
  8. Do they have their own drugs?
  9. Do they require blister packs, dosset boxes? (at least 48 hours notice required)
  10. Have any drains, sutures, clips been removed?
  11. Has venflon been removed?
  12. 3/7 dressings supplied?
  13. Urinary catheter bags supplied? (Day & Night bags)
  14. Wound/stoma care advice given/follow up
  15. Has outpatient appointment been booked?
  16. Has ambulance been booked for:
  17. Discharge home
  18. Outpatients
  19. Is an anti-coagulant appointment booked?
  20. Is patient aware of details?
  21. have details been sent to patient?
  22. Has patient got discharge information they need?
  23. GP discharge summary
  24. DN letter/CPN letter
  25. Transfer letter
  26. Sick certificate
  27. Details of who to contact if they are unwell
  28. Has patient been advised of what danger signs to act on and what to do?
  29. Is patient suitable for discharge lounge?
  30. Own transport
  31. Ambulance informed?
  32. Relatives informed?
  33. Notes and TTOs sent
  34. Has patient got what they need to access their property e.g. house keys, keypad code

PERSONAL EFFECTS

  1. Property from Patient Affairs returned to patient?
  2. Has patient got equipment they require?

CONFIRMATION OF DISCHARGE ARRANGEMENTS WITH PATIENT

  1. All above details confirmed with patient/main carer? Patient/Carer Signature
  2. Electronic Discharge Summary Letter

ANY OTHER COMMENTS

Signature

Date