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Enhanced Discharge

ED Team photo 2015

Readmissions cost the NHS massively in both time, money and reputation. To the patient and their families the cost is priceless.

Enhanced Discharge has successfully reduced the readmission rate at the Royal Derby since its inception October 2012.

This great achievement was recognised nationally when it received a HSJ efficiency award in acute care redesign in 2013.

The Enhanced Discharge process consists of a four step approach:

  • Risk assessment, to identify those at risk of an emergency readmission

  • Teach back, using a coaching approach this is a three day education and support programe focusing on┬ámedicines understanding, self care and recognition of deterioration.

  • Post Discharge Follow Up Call : 48-72 hrs after discharge to identify any issues and support solutions.

  • Hot Handover : a verbal hand over to community teams to highlight pt discharge and needs. This often leads to additional referrals being made.