Improving Delayed Discharge: Shifting The Focus From Beds To People

One year on since the integration of health and social care in Scotland officially went live, the approach taken by the health, housing and social care sectors to address the issue of delayed hospital discharges will be a real acid test of whether that integration is working effectively on the ground.
 

The context

There is evidence that people who are delayed more than 72 hours have worse outcomes than those who go home sooner. This is why the Scottish Government introduced a commitment in the Integration Indicators to increase the percentage of people who are discharged from hospital within 72 hours of being ready. 
 
In 2015 the Scottish Government announced it would be providing an additional £100 million over three years to help reduce the numbers of people waiting to be discharged from hospital. This resource has helped to support many innovative delayed discharge projects across Scotland.

The event

This event will focus on the critical interface between hospitals and community services. It will explore how Joint Integration Boards can improve delayed discharge by taking a person-centred approach to managing individuals’ transitions between the two.
 
Key issues to be addressed
  • Improving Unscheduled Care
  • Leadership and culture change: taking charge of improving discharges
  • Working with the care sector to make places available in our nursing homes
  • Sharing practice from across Scotland

 

Agenda*

09:15 Registration

Session 1: A Person-Centred Approach To Tackling Delayed Discharges

In this opening session we will look at the latest statistics on delayed charges and look at the key actions we can take to help improve them. In doing so we will focus on the experience of the person and their journey through care.

09:55 Opening remarks from the chair

Jennifer Trueland, Health Journalist

10:00 Facing the challenges of delayed discharge: where are we now?

Speaker to be confirmed, NHS ISD 

10:20 Unscheduled care

10:40 Taking a person-centred approach to improving delayed discharges

Helen McFarlane, Our Voice Programme Director, Scottish Health Council

11:00 Questions and discussion

11:15 Refreshments

Session 2: Getting The Groundwork Right

Leadership, assessment, service availability… these are just a few of the building blocks that are essential to get right if we are to reduce delayed discharges.

11:30 Enabling Care for Older People Living With Frailty

  • The Glasgow City context and challenge
  • Transformation plan - taking action
  • Key outcomes for older people and performance outcomes

Fiona Brown, Head of Older People and Primary Care (North East), Glasgow Health and Social Care Partnership

11:50 Hospital at Home South Edinburgh​

Dr Penny Cartwright, Specialty Doctor, Royal Infirmary Edinburgh

Billie Flynn, Clinical Service Manager, Royal Infirmary Edinburgh

12:10 Supporting Our Care Homes to Improve Availability of Places

Karen Hedge, National Director, Scottish Care

12:30 Questions and discussions

12:45 Lunch

Session 3: Taking Action Together

In this final session we will look at some of the projects ongoing across Scotland that are helping to smooth the transition between hospital and community care and making a significant difference to the wellbeing of Scotland’s citizens.

13:30 Using Data Differently: Risk Prediction Tool For Delayed Discharges

Using data in new ways to predict patients at highest risk of delayed discharge. ​

Jonathan Cameron, Head of Service - Strategic Development, Public Health & Intelligence (PHI), NHS National Services Scotland

13:50 improving the discharge pathway through discharge hubs 

Caitlin Charlton, Senior Nurse, Perth Royal Infirmary, NHS Tayside

Diane Gardiner, SCN/Discharge Hub Co-ordinator, Perth Royal Infirmary

14:10 Planning ahead: a HSCP’s multi-faceted approach to improving discharge

14:30 Does Early Communication and Discharge Planning with Patients and Caregivers Decrease Length of Stay? 

  • Implementation of ‘ward flow coordinator’ to collate in depth pre-admission information and check discharge tasks complete.
  • Resulted in decrease in length of stay, reduction in re-admissions and improved patient/caregiver satisfaction. 

Vicki Salisbury, Senior Physiotherapist, Medicine of the Elderly/Orthopaedic Rehabilitation, Western General Hospital, NHS Lothian

14:50 Questions and discussion

15:05 Closing remarks from the chair

15:10 Close of event

*Agenda subject to change

Venue

COSLA, Verity House, 19 Haymarket Yards, Edinburgh | Map 
 
Costs
Delegate rates (excluding VAT):
  • Discounted rate: £145 (Voluntary / charitable organisations with an annual income of less than £1m)
  • Reduced rate: 1 place £245 | 2+ places £195 (Central government departments and agencies, local authorities, universities, colleges, NHS, police, professional associations and voluntary / charitable organisations with an annual income over £1m)
  • Full rate: 1 place £295 | 2+ places £245 (Commercial organisations e.g. plc, Ltd, LLP)
For more information please email enquiries@holyrood.com or phone 0131 285 1635
Dates
29 November 2017
Location
Edinburgh
United Kingdom

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