what does a pharmacist do
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f you go into hospital, you may be worried about whether you’ll cope when you leave.
You shouldn’t be discharged from hospital until:
You are medically fit (this can only be decided by the consultant or someone the consultant has said can make the decision on their behalf).
You have had an assessment to look at the support you need to be discharged safely.
You have been given a written care plan that sets out the support you’ll get to meet your assessed needs.
The support described in your care plan has been put in place and it’s safe for you to be discharged.
Each hospital has its own discharge policy. You should be able to get a copy of this from the ward manager or the hospital’s Patient Advice and Liaison Service (PALS). A hospital’s discharge policy should state how patients and carers are involving in discharge planning. You can decide whether you want a family carer involved in decisions about your future care.
If you have limited capacity to make your own decision, the Mental Capacity Act will apply. It is worth thinking about appointing a deputy or enacting a welfare power of attorney before you go into hospital.
Before you go into hospital
If you’re due to go into hospital in a planned way, such as for an operation, planning for what happens afterwards should happen before you ever arrive at the hospital. For unplanned admissions, such as if you’ve had a fall and hurt yourself, discharge planning should begin on the day you’re admitted to hospital.
You’ll usually be given an estimated date of discharge within 24 to 48 hours of being admitted to hospital. Your progress will be reviewed and, if there’s likely to be a change to your discharge date, you should be kept updated. Read more about what happens after surgery.
The person co-ordinating your discharge for should be available each day, and you should be given their name and details of how to contact them. They are sometimes called "discharge co-ordinators" or "ward co-ordinators".
Hospital discharge assessment and care plan
A discharge assessment looks at the needs you are likely to have when you’re discharged or transferred from hospital. Many people only need a small amount of support when they leave hospital, but others will need a more comprehensive package of care.
If you are likely to have ongoing health and social care needs when you leave hospital, the assessment may be carried out by a multidisciplinary team of health or social care professionals.
Depending on your needs, the multidisciplinary team could include a social worker, physiotherapist, occupational therapist, speech therapist, mental health nurse or dietitian.
You should be fully involved in the assessment process, and your views should be listened to. With your permission, any family carers will also be kept informed and given the opportunity to contribute.
If you would like help putting your views across, an independent advocate (for example, from a charity such as Age UK) may be able to help.
A care plan will be drawn up, detailing the health and social care support for you, and you should be fully involved. The care plan should include details of:
the treatment and support you will get when you’re discharged
who will be responsible for providing support, and how to contact them
when, and how often, support will be provided
how the support will be monitored and reviewed
the name of the person who is co-ordinating the care plan
who to contact if there’s an emergency or if things don’t work as they should
information about any charges that will need to be paid (if applicable)
What might be in a care plan?
The types of support in someone’s care plan will depend on their assessed needs and preferences. A care plan could include:
Community care services from the local authority, such as reablement services: An assessment for these must be arranged if it seems that you may need them.
NHS continuing healthcare.
NHS funded nursing care.
Intermediate care:
