HEALTH & SOCIAL CARE MORAY
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Discharge to Assess

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​A new approach to reduce the number of people being delayed leaving hospital and maximise their ability to live independently at home, has been approved by the Moray Integration Joint Board (IJB).
Discharge to Assess supports the rapid discharge of people who are medically ready to leave hospital and appropriate to have their functional needs assessed among the familiar surroundings of their own home.
It is widely recognised that staying in hospital for longer than necessary has a negative impact on older people in particular. Ensuring that people receive the support they need to continue their lives at home is vital for their longer-term health and wellbeing.
Discharge to Assess supports patients through comprehensive physiotherapy and occupational therapy assessment and the provision of timely rehabilitation to maximise their independent living skills. The targeted functional approach results in more people remaining independent after a hospital admission or attendance, and a reduced dependency on formal care services.
Funding of £500,000 for 2021/22 to scale up the Discharge to Assess team was agreed by the IJB meeting on 25.03.21 following consideration of a report on the success of a test of change. Evidence was presented by project lead Dawn Duncan, Professional Lead for OT, of improved patient outcomes, prevention of admission to hospital and readmission rates, and increased capacity in Moray’s hospitals for people requiring acute care.
During the six month test, 48 patients aged between 64 and 96 were support by the Discharge to Assess team to return home to continue their recovery. All 48 recorded improved assessment scores in their gait, balance and mobility, reducing their risk of falls.  88% of patients agreed their functional performance had improved.
Supported early discharge through Discharge to Assess forms a key part of Moray’s Home First strategic shift to a more community focused model of care which places people and their families at the centre of decision making, working alongside them to understand what is important to them and what will enhance their personal outcomes.
Approaches are being stepped up to provide greater community support to people to maximise their ability to live independently at home and to avoid unnecessary hospital attendance or admission.
Read the IJB reports here.
  • Discharge to Assess
  • Appendix 1
  • Appendix 2

See also:
​- Community Newsletter
- Delivery Group

Partners in Care - working with the people of Moray ​to achieve healthier lives in healthier communities​
​Health & Social Care Moray, Unit 9C Southfield Drive, Elgin, Moray IV30 6GR
​Keep up to date with our latest news and information by following @hscmoray on Facebook and Twitter
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  • Welcome
  • About us
    • Senior Management Team
    • Our services >
      • Social Care
    • Our Strategies
    • Policies, Procedures & Plans
  • the board
    • Membership >
      • Apply to be a Board member
      • Register of members' interests
    • Meetings of the Board and Committees >
      • Agendas, minutes and reports 2018 onwards >
        • Agendas, Reports and Minutes - earlier dates
    • Key board documents >
      • Integration Scheme for Moray
      • Strategic Plan >
        • National Outcomes
        • Strategic Plan consultation
        • Strategic Plan - supporting documents
      • Annual Accounts
      • Annual Performance
      • Equality and Diversity
      • Data Protection
      • Subject Access Request
    • Freedom of Information >
      • FOI Requests and Responses
    • Feedback and complaints >
      • Annual Complaints
  • Improvement Programmes
    • Home First >
      • Discharge to Assess
      • Home First Delivery Group
      • Home First Community Newsletters
  • Localities
    • Buckie, Cullen & Fochabers
    • Elgin
    • Forres and Lossiemouth >
      • Lossiemouth & the surrounding areas
      • Forres transformation of services >
        • earlier engagement activities
    • Keith & Speyside >
      • Keith & East Locality Project >
        • About the Project
        • The Project Board >
          • KELP Minutes 2019
        • Stakeholder reports
        • Project Newsletters
        • Project events
  • Job opportunities
  • Involving people - become a Member
    • Newsletters >
      • HSCM updates >
        • HSCM updates 2021
        • HSCM updates 2020
    • Current engagement & consultation >
      • Earlier engagement & consultation
    • Participation requests
  • Contact us