Temporary bedded care

Ensuring every day spent in temporary bedded care is as valuable as possible for a person, focussed on getting them back to the place they call home.

Discharge to assess (D2A) trial

Temporary bedded care has been busy with a collaboration between adult social care and health colleagues, working to improve outcomes for people in temporary bedded care to ensure that all their stay is beneficial.

3 care homes in Cornwall have been commissioned as discharge to assess (D2A pathway 2) beds. Discharge to assess is the national hospital discharge policy that requires people to be discharged from hospital within 24 hours of a decision that they have been medically optimised. The units in care homes are for people who are ready to be discharged from a hospital but need support to get back to the place they call home.

The units provide up to 6 weeks intensive reablement led by physiotherapists and occupational therapists to help people get back to their full potential, so they can live as independently as possible. In the last few weeks, therapists have been busy recruiting additional reablement workers in order to be able to provide therapy throughout the day to ensure people get the most out of their stay. The therapists are in place this week in 3 of the homes, with more expected next week. This work will provide 46 discharge to assess beds in Cornwall.

The trial’s aim is to:

  • increase the number of people able to remain living at home for as long as possible, preventing or delaying their need for a care home
  • reduce the number of people permanently admitted to long term care
  • facilitate timely discharge from hospital where the person is waiting for an assessment
  • prevent avoidable hospital admissions during the COVID-19 emergency and beyond

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