Quick guides to support health and social care systems

NHS England and partners have published a series of quick guides to support local health and social care systems. The guides provide practical tips, case studies and links to useful documents, which can be used to implement solutions to common issues.

The quick guides:

  • bring clarity on how best to work with the care sector
  • help you to find out how people across the country are working with the care sector to reduce unnecessary hospital admissions and delayed transfers of care
  • break down commonly held myths
  • provide access to resources to allow you to successfully implement new ways of working
  • enable you to break down barriers between health and social care organisations.

Improving hospital discharge

Discharge to assess (D2A) is a model that can help achieve the ‘home first’ aim. Providing short-term care and reablement in people’s homes means many people no longer need to wait for unnecessary assessments in hospital. For example, using ‘step-down’ beds, which work with therapies or reablement staff, help bridge the gap between hospital and home.

Implementing a discharge to assess model where going home is the default pathway, with alternative pathways for people who cannot go straight home, is more than good practice – it is the right thing to do.

Better use of care at home

Enhancing health in care homes

Trusted Assessment

The use of a Trusted Assessor can reduce the numbers and waiting times of people awaiting discharge from hospital and help them to move from hospital back home or to another setting quickly, effectively and safely.

The guide ‘Developing trusted assessment schemes: essential elements‘ describes how hospitals, primary and community care and local councils can work together to deliver trusted assessment as a key part of the High Impact Change Model.