In 2018 Canterbury and Coastal Clinical Commissioning Group took part in an east Kent wide review of practices around discharge from hospital to improve patient outcomes, experience and efficiency. Too many people remain in hospital when they could go home if the proper care was in place.
Three workshops were held in June 2018 - one for clinicians, one for people responsible for the delivery and commissioning of care and one for patients and the public. These were designed to:
- explore the issues around delayed transfer of care (DTOC) and the impact on patients and services
- consider how systems and processes could be redesigned– in line with local care models being developed across east Kent - to improve patient outcomes
- ensure smoother, more effective transitions across services and reduce the significant level of inappropriate bed occupancy.
The public event was held in Herne Bay on 15 July, and was attended by patients, carers and representatives from local charitable organisations and the council.
There was a consensus in all three workshops that the delayed transfers of care in east Kent had reached unacceptable levels and immediate action was required to change the models of discharge to address the problems. There were a number of practical recommendations that emerged during this initial engagement phase including the creation of a patient and citizen panel to make sure the patient perspective feeds into the new models of discharge.
A patient panel met on 30 August to help implement the changes and give patients a voice within the plans.
Report of engagement sessions held in June 2018: Improving discharge pathways in east Kent.