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Process mapping and common bottle necks to resolve

Common areas causing delay are 

Failure to plan discharge

Late social care referrals

Late TTO requests or lack of external community pharmacy to support delivery of TTOs rather than wait for hospital drugs

Transport difficulties

Home adaptation delays

Equipment delivery delays

Home support provision delays

Medical deterioration due to above delays e.g. pick up infection

Best way is to complete a total process map with all partners to identify what is needed and at which point to ensure the discharge planning meets these needs. there is no point planning a discharge and giving 2 hours notice for the above items to be arranged. better to request and stand down than wait until fit to go. toolkit for ward staff and regular audit to ensure change is embedded otherwise it wont work after the intial change.

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Leigh Kendall 3 months ago

Hi Nicola, this is a really sensible idea - a process map to understand where the bottlenecks or other delays are happening.

Have you seen this related idea by Nigel Coomber about thinking ahead?

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Reply 2

Here is a comment that was posted on Twitter about this idea from @LeilaEccles: What you have here is a checklist which can sit within the patient’s care plan from admission so it’s a continuous, intrinsic process not reactive.

See the original tweet here:

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