Care and discharge planning
Failure to develop detailed and comprehensive client assessments, recovery plans, and discharge plans.
16 items
1 source
5 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
73match
LAMI-71 - Require documented future care plan for discharging children with protection concerns.
Hospital trust chief executives must introduce systems to ensure that no child about whom there are child protection concerns is discharged from hospital without a documented plan for the future care of the child. The plan must include follow-up arrangements. Hospital chief executives must introduce systems to monitor compliance with this recommendation.
Matched on
terms: care, discharge
Inquiry recommendation
73match
F239 - Continuing responsibility for care
The care offered by a hospital should not end merely because the patient has surrendered a bed – it should never be acceptable for patients to be discharged in the middle of the night, still less so at any time without absolute assurance that a patient in need of care will receive it on arrival at the planned...
Matched on
terms: care, discharge
Inquiry recommendation
69match
LAMI-72 - Ensure identified GP for children with deliberate harm concerns discharged from hospital.
No child about whom there are concerns about deliberate harm should be discharged from hospital back into the community without an identified GP. Responsibility for ensuring this happens rests with the hospital consultant under whose care the child has been admitted.
Matched on
terms: care, discharge
Inquiry recommendation
61match
BRIS-20 - Establish comprehensive counselling and support services as integral to patient care
The provision of counselling and support should be regarded as an integral part of a patient’s care. All hospital trusts should have a well-developed system and a well-trained group of professionals whose task it is to provide this type of support and to make links to the various other forms of support (such as that provided by voluntary...
Matched on
terms: care
Inquiry recommendation
60match
LAMI-70 - Require consultant or paediatrician permission for discharging children with protection concerns.
Hospital trust chief executives must introduce systems to ensure that no child about whom there are child protection concerns is discharged from hospital without the permission of either the consultant in charge of the child’s care or of a paediatrician above the grade of senior house officer. Hospital chief executives must introduce systems to monitor compliance with this...
Matched on
terms: care, discharge
Inquiry recommendation
57match
R6 - Named person approval for transfers
The named person responsible for the care plan must both review and approve the preparation of anyone with a learning disability transferring to a new environment within or external to the Trust in which they are cared for. This approval must be recorded in the healthcare notes.
Matched on
terms: care
Inquiry recommendation
52match
R6 - Service change continuity plans
Scottish Government should ensure that where major changes in patient services are planned there should be clear and effective plans in place for continuity of safe patient care.
Matched on
terms: care
Inquiry recommendation
52match
LAMI-56 - Prevent discharge of hospitalised children with concerns until home is safe
Directors of social services must ensure that no child known to social services who is an inpatient in a hospital and about whom there are child protection concerns is allowed to be taken home until it has been established by social services that the home environment is safe, the concerns of the medical staff have been fully addressed,...
Matched on
terms: discharge
Inquiry recommendation
51match
F256 - Follow up of patients
A proactive system for following up patients shortly after discharge would not only be good "customer service", it would probably provide a wider range of responses and feedback on their care.
Matched on
terms: care, discharge
Inquiry recommendation
45match
R94 - Continuing community support provision
There will be a continuing need, which must be met, for new and ongoing community-based support for young people and adults with learning disabilities and autistic people whose families become unable to cope full time. This means there is a continuing need for a range of types of provision and well-coordinated support services in addition to the usual...
Matched on
classifier match
Inquiry recommendation
45match
R91 - Higher-funded resettlement team for complex needs
There needs to be a recognition that those service users in Northern Ireland yet to be resettled (if there are any by the time of publication of this report) will require a higher level of funding due to their needs and behaviour that challenges. A highly qualified team must be formed to progress their resettlement. An example of...
Matched on
classifier match
Inquiry recommendation
41match
R99 - Key individual for resettlement communication
Communication between the HSCTs and/or resettlement service providers and families and people with learning disabilities should be more open and transparent. Each service user/family should have appointed to them a key individual who is responsible for ensuring both the family and the service user are consulted and kept informed in relation to considerations of resettlement, including the staff...
Matched on
classifier match
Inquiry recommendation
41match
R92 - Time frame and financial information for families
Families should be provided by the relevant Trust with a time frame for resettlement and relevant financial information. Families should also be afforded an appropriate amount of time to consider resettlement options.
Matched on
classifier match
Inquiry recommendation
41match
R7 - Independent living skills focus
While patients remain in hospital pending resettlement, there should be a focus on enhancing their independent living skills, tailored to their physical and mental capacity.
Matched on
classifier match
Inquiry recommendation
41match
R4 - Consultation before patient transfers
Prior to the decision to move a service user to a different facility there must be discussion with the staff regularly caring for them, the relevant multidisciplinary team (MDT), the person's family where practicable and the person themselves where possible, to consult with them about the potential move.
Matched on
classifier match
Inquiry recommendation
22match
BRIS-21 - Require every trust to provide a professional bereavement service and online information
Every trust should have a professional bereavement service. (We also reiterate what was recommended in the Inquiry’s Interim Report: ‘Recommendation 13: As hospitals develop websites, a domain should be created concerned with bereavement in which all the relevant information concerning post-mortems can be set out in an appropriate manner.’)
Matched on
classifier match