1. DEVELOPMENT OF AN INTEGRATED HOSPITAL RAPID DISCHARGE TEAM Jo Philpott - Occupational Therapist, HRDT Sally Howard – Physiotherapist, HRDT

2. Pre - HRDT CDURAMU WARD

3. Pre - HRDT CDURAMU WARD

4. Pre - HRDT CDURAMU WARD

5. Pre - HRDT CDURAMU WARD

6. Pre - HRDT Problems CDURAMU WARD

7. The HRDT Vision  Every older person has a baseline function screen at the front door; or within 24 hours of admission to hospital  Every patient to have a therapy plan  Discharge as soon as medically fit  Fully Integrated Therapy Team - front & back door

9. How The Vision Was Received

10. How It Happened  No rules anymore  COMMUNICATION!  We embraced change  Linking with voluntary sector and community services

11. What Works Well?  SCT & BSUH quickly adapted & work well together  Increased resources → early screening of most older medical inpatients  Purple HRDT assessment form, all notes in medical notes  Daily morning meetings  Access to ‘immediate’ help in the community  Allocated ‘front door’ Social Worker

12. Preliminary Data

13. What Could Be Improved?  Further links with community services  County differences  Training & competencies  Changing patient & family expectations  Improved communication with medical & nursing staff  Pharmacy & transport  Discharge to Assess

14. HRDT CDURAMU WARD

15. Thank you for listening, any questions?