More independent decisions on discharge from hospital and short term beds 240 more people home rather than to a bed every year.
In acute hospitals across MSE teams have embedded new ways of working including multi-disciplinary team meetings and better visibility of data. The Connect team are now working with teams in North and West Essex to embed and sustain similar ways of working and improvements.
Discharge to Assess (D2A) teams are working to support people who are discharged to an interim bed. In North Essex they have designed and are adopting ‘the perfect first week’ which is already showing very positive results. There are now plans to introduce this approach across Essex in the coming months.
Our New Ways of Working
New ways of working designed and tested in North Essex are seeing some excellent initial results.
The changes include allocation of a social worker on day one of being in an interim bed, and new multidisciplinary (MDT) meetings, attended by ASC case workers, Community Therapy, and Care Providers where the Perfect First Week plan for every adult admitted in the past week is discussed.
By working in this way, the team has assurance that everybody is on track for their most independent outcome from the start of their discharge to assess journey.
By setting target timescales and reviewing them weekly, we are maximising the chance of adults achieving their most independent outcome by progressing them at the right time for them, without delay.
Sustainability
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