Discharge Pathway

A Discharge Pathway is the intended or actual route which an admitted PATIENT in an Acute or Community Hospital takes on discharge from a Care Professional Admitted Care Episode or Hospital Provider Spell .

Description

A Discharge Pathway is the intended or actual route which an admitted PATIENT in an Acute or Community Hospital takes on discharge from a Care Professional Admitted Care Episode or Hospital Provider Spell.

Discharge Pathway 0 (zero) covers

  • simple discharge back to the PATIENT's usual place of residence (e.g. own home, Care Home or temporary accommodation)

  • arranged by WARD staff without the involvement of a Care Transfer Hub

  • no requirement for new or increased levels of health and/or social care and support

and may also cover, where applicable:

  • self-management with Signposting to  SERVICES in the community

  • voluntary sector support

  • the re-start of a pre-existing Home Care package at the same level, that remained active and on pause during the PATIENT's Hospital Stay

  • returning to an original Care Home placement, with care at the same level as prior to the PATIENT's Hospital Stay

Discharge Pathway 1 covers:

  • discharge back to the PATIENT's usual place of residence (e.g. own home, Care Home or temporary accommodation) 

  • co-ordinated by a Care Transfer Hub

  • where there is a requirement for new or increased levels of health and/or social care and support, OR

  • a re-start of a Home Care package at the same level as a previous Home Care package that lapsed during the PATIENT's Hospital Stay

and may also cover, where applicable:

  • provision of home-based intermediate care on a time-limited, short-term basis for rehabilitation, reablement and recovery

  • provision of End of Life Care

  • provision of long-term care and support at home following a period of intermediate care in the community (Note - applicable to discharge from Community Hospitals only)

Discharge Pathway 2 covers:

  • discharge to a community-bedded setting (Care Home, Community Hospital or other bed-based rehabilitation facility e.g. Hospice)

  • co-ordinated by a Care Transfer Hub

  • with provision of bed-based intermediate care

  • on a time-limited, short-term basis for rehabilitation, reablement and recovery

and may also cover, where applicable:

  • provision of End of Life Care alongside intermediate care

Discharge Pathway 3 covers:

  • PATIENTS

    with the highest level of complex needs, and in rare circumstances

  • discharge to a Care Home or Hospice placement

  • co-ordinated by a Care Transfer Hub

  • assessment of long-term or ongoing needs and facilitation of PATIENT choice in relation to a permanent placement

and may also cover, where applicable:

  • provision of End of Life Care

  • provision of long-term care and support in a Care Home following a period of intermediate care in the community (Note - applicable to discharge from Community Hospitals only)

Further information on Discharge Pathways can be found at the gov.uk website at Hospital discharge and community support guidance - GOV.UK (www.gov.uk).

Also Known As

This Supporting information is also known by these names:

Context Alias
Plural Discharge Pathways

Where Used

Type Link How used
Supporting Information Care Transfer Hub references in description Discharge Pathway
Data Element DISCHARGE PATHWAY SUB CATEGORY (HOSPITAL PROVIDER SPELL) references in description Discharge Pathway
Attribute DISCHARGE PATHWAY SUB CATEGORY FOR HOSPITAL PROVIDER SPELL references in description Discharge Pathway
Supporting Information Discharge Pathway references in description Discharge Pathway
Data Element PLANNED DISCHARGE PATHWAY SUB CATEGORY (HOSPITAL PROVIDER SPELL) references in description Discharge Pathway
Attribute REASON FOR DISCHARGE DELAY references in description Discharge Pathway
Data Element REASON FOR DISCHARGE DELAY (HOSPITAL PROVIDER SPELL) references in description Discharge Pathway