This document is also available in pdf format (584k) CONTENTSGLOSSARY SUMMARY CHAPTER 1 - INTRODUCTION
POLICY DEVELOPMENT
AIMS AND OBJECTIVES OF THE RESEARCH REVIEW
METHODS
SCOPE OF THE RESEARCH REVIEW CHAPTER 2 - IDENTIFYING THE PROBLEM AND MATCHING SOLUTIONS
WHAT IS A DELAYED DISCHARGE?
WHO IS AT RISK OF DELAYED DISCHARGE?
ARE THE RIGHT PEOPLE BEING TARGETED IN SCOTLAND?
ARE THE MAIN REASONS FOR DELAYED DISCHARGE BEING ADDRESSED IN SCOTLAND? CHAPTER 3 - EVALUATING AND MONITORING IMPACT IN SCOTLAND
INFORMATION SYSTEMS TO MONITOR DELAYED DISCHARGE
EVALUATING IMPACT OF INITIATIVES CHAPTER 4 - EVIDENCE FROM THE LITERATURE OF WHAT WORKS
HOSPITAL AT HOME/EARLY SUPPORTED DISCHARGE/RAPID RESPONSE TEAMS
DISCHARGE PLANNING AND ASSESSMENT
IMPROVING CLINICAL CARE IN HOSPITAL
EQUIPMENT/ADAPTATIONS
STEP UP/STEP DOWN BEDS IN CARE HOMES
JOINT CASE MANAGEMENT
CROSS-CHARGING
CARE HOMES PLACES
INTERIM CARE HOME BEDS
INTRODUCING A RANGE OF INITIATIVES
THE ROLE OF GPS
THE ROLE OF SOCIAL CARE STAFF
THE ROLE OF NURSES
THE ROLE OF ALLIED HEALTH PROFESSIONALS
THE ROLE OF CARERS
A RANGE OF PERSPECTIVES CHAPTER 5 - INITIATIVES IN SCOTLAND
INITIATIVES TO TACKLE DELAYED DISCHARGE
CARE HOMES
STEP UP/DOWN BEDS IN CARE HOMES OR INTERMEDIATE CARE
REHABILITATION
HOSPITAL AT HOME RAPID RESPONSE/EARLY SUPPORTED DISCHARGE
ASSESSMENT
OUT OF HOURS
CARE MANAGERS
EQUIPMENT AND ADAPTATIONS
TRANSPORT/READY ROOMS
DAY CARE CHAPTER 6 - CONCLUSIONS
DEVELOPING A WHOLE SYSTEM APPROACH TO TACKLE DELAYED DISCHARGES ANNEX- RESOURCES SEARCHED REFERENCES TABLES
1: SUMMARY OF POLICY DEVELOPMENTS LIKELY TO IMPACT ON DELAYED DISCHARGE
2: VOLUME AND TYPE OF DOCUMENTS RELATING TO REASONS FOR DELAYED DISCHARGE
3: VOLUME AND TYPE OF DOCUMENTS RELATING TO SOLUTIONS FOR DELAYED DISCHARGE
4 - 6: INITIATIVES TO TACKLE DELAYED DISCHARGES IN SCOTLAND 2003/2004 DIAGRAMS
1: INTERSECTION OF PREDICTIVE INDICATORS OF RISK OF DELAYED DISCHARGE
2: A WHOLE SYSTEMS APPROACH TO TACKLE DELAYED DISCHARGE GRAPHS
1: PREDICTED GROWTHS IN THE NUMBER OF OLDER PEOPLE IN LANARKSHIRE
2: DELAYED DISCHARGE BY REASON FOR DELAY JANUARY 2001 TO JULY 2003 IN BORDERS AND AYRSHIRE AND ARRAN AcknowledgementsThis research review was commissioned by Community Care Division 1 of the Scottish Executive Health Department. However, the views expressed in the research review are those of the authors. Thanks to Rosemary Porteous, University of Edinburgh and Janice Reid, University of Glasgow for helping to conduct the literature search; Ailsa Stewart, Community Care Works, University of Glasgow who provided information about initiatives in Scotland to tackle delayed discharges and helped to conduct the telephone interviews; Steve Kendrick for providing ISD data; health and social care professionals in Scotland who provided information about initiatives to tackle delayed discharges. |