Discharge to Assess
Discharge to Assess (D2A) is the term used to describe supporting people to leave hospital, when safe and appropriate to do so, and continue their care and assessment out of hospital.
The Home First team co-ordinates hospital discharges (via the Transfer of Care hub), when further care is required, across home-based care, community hospital, interim bedded care, or long-term placement.
The Home First team works with Social Care, Continuing Health Care and Wards to plan and co-ordinate support, required following discharge from hospital – across both ED and wards. Home First provides pathways to provide care for patients who are either Non-Weight Bearing or have diagnosed Acute Delirium.
Patients can be referred from either the community, or hospital when medically fit for discharge, where health and social care needs are required. Medical assessment will be made of the Acute Delirium or Non-Weight Bearing needs, and when accepted to pathway, clinical review and assessment of further needs will be undertaken.
Accessing the service
Referrals can be made through HomeFirst. The Single Point of Access team will forward any query to this team.