Discharge Planning

Question 1

What is SPA

Answer 1

Single point of access

Telephone number for patients/HCPs to call which triages call to appropriate service

Question 2

What is a package of care and the maximum allowance

Answer 2

Combination of services put together on hospital discharge to meet a persons care needs
Maximum:
2 carers QDS for 6 weeks, key lock, mobility aids

Question 3

Difference between nursing home and residential home

Answer 3

Nursing - NHS funded, for medical needs, need continuing healthcare document to apply for funding
Residential - self funded

Question 4

Who is involved in discharge planning

Answer 4

Doctor - MFFD, TTOs 14 day supply
Nurse
PT/OT - fit for ADLs, any equipment or modifications needed for house
Social worker - provides POC

Question 5

What are section 2 and 5 for social workers

Answer 5

2: lets social worker know patient will require a POC
5: 48 hour notice for social services to have POC ready

Question 6

When do patients pay for their POC

Answer 6

If savings/property over a threshold
AND
Require continuing care after maximum 6 weeks (6 weeks free for all)

Question 7

What is the continuing healthcare checklist used for

Answer 7

Decides if patient needs a continuing POC

Decides if POC should be funded by NHS or social services

Question 8

What domains are covered in the continuing healthcare checklist (12)

Answer 8

Behaviour
Cognition
Communication
Psychological needs
Mobility
Nutrition
Continence
Skin
Breathing
Symptom control
Altered consciousness
Other significant needs