The Chartered Society of Physiotherapy’s Frontline magazine this month features a leading article on our Discharge to Assess service – read full article below
A three-year project to embed discharge to assess (D2A) as a core East Lothian service
Jo Pilarksa, advanced physiotherapy practitioner, shares her highlights of a three-year project to embed discharge to assess (D2A) as a core East Lothian service
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- To promote a change in culture from the ‘assess to discharge’ model of care
- To facilitate timely and effective discharge of patients who are clinically fit and appropriate to have their therapy assessment at home
- To develop a culture of ownership of East Lothian patients throughout their patient journey
D2A referral criteria and pathway was established in 2015 in consultation with NHS Lothian acute sites and East Lothian Council. D2A enables:
- Comprehensive same day or next day physiotherapy/occupational therapy assessment
- Ongoing person-centred care delivered in a patient’s own environment, including provision of equipment, minor adaptations and short term therapy support
- Education and awareness sessions delivered to referring staff
- Standardised recording and audit processes
- Collaborative working with East Lothian discharge co-ordinators and community teams
- Daily screening of admissions lists from acute hospitals to proactively ‘pull’ patients from hospital
- Weekly in-reach by the D2A team to orthopaedics, stoke and medicine of the elderly at the Edinburgh Royal Infirmary.
- D2A is now fully embedded within the wider East Lothian community services and is a key alternative discharge pathway
- D2A fulfils NHS Scotland’s strategic aims, of returning patient to their own homes as soon as appropriate, with minimal risk of re-admission.
- Development of a seven day working initiative to support weekend discharges
- Extend site coverage and capacity of D2A in-reach
- Creation of a locality based health and council rehabilitation team supporting discharges and prevention of admissions.