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Transition between inpatient hospital settings and community or care home settings for adults with social care needs [QS136]

Measuring the use of this guidance

Statement: 2

Older people with complex needs have a comprehensive geriatric assessment started on admission to hospital

Quality standard measure: Evidence of local arrangements to ensure that older people with complex needs have a comprehensive geriatric assessment started on admission to hospital.
What was measured: Percentage of acute trusts or local health boards who report having a multidisciplinary team response that initiates a comprehensive geriatric assessment within the first hour of admission.
Data collection end: October 2016
26%
Area covered: England
Source: NHS Benchmarking Network. Older People’s Care in Acute Settings Benchmarking Report.


Statement: 3

Adults with social care needs who are in hospital have a named discharge coordinator.

Quality standard measure: Readmission rates for adults with social care needs.
What was measured: Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services.
Data collection end: March 2016
82.7%
Data collection end: March 2017
82.5%
Area covered: England
Source: NHS Digital. NHS Outcomes Framework.

Quality standard measure: Evidence of local arrangements to ensure that adults with social care needs who are in hospital have a named discharge coordinator.
What was measured: Percentage of acute trusts or local health boards with dedicated ward discharge co-ordinators.
Data collection end: October 2016
70%
Area covered: England
Source: NHS Benchmarking Network. Older People’s Care in Acute Settings Benchmarking Report.

Quality standard measure: Evidence of local arrangements to ensure that adults with social care needs who are in hospital have a named discharge coordinator.
What was measured: Proportion of hospitals which reported having a named person in place to coordinate discharge plans for people with dementia.
Data collection end: October 2018
92%
Number that met the criteria: 179 / 195
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Evidence of local arrangements to ensure that adults with social care needs who are in hospital have a named discharge coordinator.
What was measured: Proportion of hospital case notes of people with dementia showing evidence of having a named person in place to coordinate discharge plans.
Data collection end: October 2018
85%
Number that met the criteria: 5950 / 6975
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.


Statement: 4

Adults with social care needs are given a copy of their agreed discharge plan before leaving hospital.

Quality standard measure: Proportion of discharges from hospital of adults with social care needs that include the person being given a copy of their agreed discharge plan before leaving hospital.
What was measured: Proportion of people with dementia discharged from hospital, or their carers, who received a copy of their discharge plan/summary.
Data collection end: October 2018
88%
Number that met the criteria: 5886 / 6679
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.



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