If a person is discharged from hospital, at this point the local authority's charging policies will apply, and the individual may have to contribute towards the cost of their care. All options should be considered and the outcome of the process explained to the individual, their family and carer. The assessment will help establish the best place for the person to have their clinical healthcare needs met. The assessment should be carried out in partnership with the patient, family or carer, and their views and wishes should be taken into account. The assessment will be carried out by the responsible consultant or equivalent specialist, informed by the Multi-Disciplinary Team. If an individual does not meet the eligibility question above they will be discharged from NHS care to a suitable community setting – home with support, a care home or supported accommodation. Hospital based complex clinical careĪssessment for long-term complex clinical care is based around a single eligibility question: Can the individual’s care needs be properly met in any setting other than a hospital? Local authorities and NHS Boards have been working together over the last few years to develop services that support this, including Intermediate Care services, like reablement, hospital at home and more intensive home care services. distress for family and carers who have to spend time and money on regular visits to a hospital that may be some distance from home.risk of healthcare associated infection, and delirium.a sense of disconnection from family, friends and usual social networks leading to boredom, loneliness and loss of confidence.Spending too long in hospital can lead to: People want to stay in their own home, or in a homely setting for as long as possible, and receiving long-term care in a hospital should be the last resort.Īs far as possible, hospitals should not be places where people live - even those with on-going clinical needs. They are places to go for short-term episodes of treatment that cannot be provided in the community.
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