1. Discharge to Assess Framework for delivery
Trust Board October 2017
Discharge to Assess
Framework for delivery

2. Actions from July
Commissioning and specification for additional community beds - Completed
Single commissioner in place – Not in place
Agreement on provision of community beds - Completed
STOC team increased and Integrated Discharge Team put in place by 1 October - Completed
Governance through A&E Delivery Board - Completed

3. Average number of MST> 24hrs NUH Supported at midnight (23:59:59)

4. Number of NUH Supported discharges per week

5. System Issues
Demand and current service provision for patients with challenging and complex mental health needs to deliver D2A
Draft policy under development with clear pathway and process to compliment IDF for ratification w/c
Helen Griffiths
Number of failed discharges due to transport
Co-ordinator will be in place within the IDT 23rd October. Monitoring daily supported discharges with Arriva
Nikki Pownall
Length of stay for Pathway 3
Escalated to commissioners for review
Further clarity is required for Pathway 3 in relation to continuing healthcare
ECIP to facilitate workshop with continuing healthcare on
Amanda Kemp

6. Next Steps Long-term Actions
Appointment to remaining agreed roles, including complex case workers, physiotherapy/ OT support to review community packages of care.
Finalise IDF Standard Operating Procedure (SOP) and specification, including learning from early implementation using PDSA cycles and daily snagging lists.
Implementation of workforce change for NUH employed IDT members to deliver 7 day coverage. The IDT will deliver a 7 day service and be a single point of access for the co-ordination and facilitation of transfer of care for all supported patients.
Long-term Actions
Work to confirm financial governance around D2A model to support sustainable capacity changes across the system. Requires support from STP leads for enhanced financial visibility.
From October – Leadership Academy to support IDF development.
Nervecentre business case to support system wide adoption- implementation through 18/19.