Highland Delayed Discharge Action Plan 2006 - 2008
Following the dissolution of NHS Argyll and Clyde Argyll and Bute Council is now part of the Highland Partnership, their Action Plan can be found here.
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1 | List the measures you will put in place to: | Tackle patients awaiting discharge | Reduce delays over 6 weeks | Reduce the number of acute beds occupied by patients delayed in hospital | Prevent unnecessary emergency admissions | Speed up the assessment process and discharge planning | Ensure resources are available to fund care home and domiciliary care | Reduce delays over 12 months to zero | other |
| | Improve understanding around the whole system approach to Delayed Discharge | Develop more community care services | Utilise extra care home places where appropriate | Extra continuing care beds Initiatives in Wick and Lochaber | Increase rate of assessment and the speed with which appropriate care is arranged | Provide more support at pre admission and admission stage | Emergency services to prevent avoidable hospital admission | Begin rehabilitation earlier |
2 | How much will be spent on each initiative? | £52,000 | £205,000 | £922,000 | £40,000 | £70,000 | £46,000 | | |
3 | Who is responsible for implementing these measures? | Director of Planning and Performance Director of Social Work Director of Community Care Director of Nursing Head of Community Care Integration |
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4 | Who will benefit and how? | 1. Patients who experience a delay in their discharge and their carers. 2. Patients with the potential to be delayed in hospital |
5 | Describe the impact of these measures | Audit currently being completed to evaluate existing activity and to review plan, available December 2005 |
6 | What data did you collect and how often was it monitored? | 1. Statistical data relating to patients delayed 2. Devised monitoring tool to measure length of stay 3. This data is monitored on a weekly basis internally and on a monthly basis for ISD 4. Finance and Performance reports on delayed discharge linking financial data with bed occupancy and emergency admission rates |
7 | What are the key risks that may prevent achieving a satisfactory outcome | 1. Risks within the home 2. Lack of ability to self care 3. Living within rural area 4. Lack of informal carers | 1. Lack of staff within rural locations 2. Cost of expensive packages | 1. Need to review the balance of social care services and agree a shift in balance | N/A | Overspend in direct access OT store in Raigmore | | 1. Mental health referrals are rising and it is difficult for services to keep up with demand | N/A |