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I recall this was updated in '22. Is it needed to updated it already? Shouldn't we wait until the discharge guidance (finally) gets published? Or do we think that's not going to happen. Feel there are things in the draft discharge policy, like the focus on carers that would be important to draw into the HICM. So would be good to hear what the discharge guidance says on that (if it ever comes out)

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All seem like logical changes

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What advice would you provide to encourage systems to use the model to shape intermediate care rather than a paper filling exercise as a mandatory requirement.

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How explicit is the model now on scoring e.g. if 7 day working in certain key areas isn't feasible or if certain legislation creates certain barriers/challenges - how prescriptive is it meant to be?

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Can we have a C&D model for social care assessment?

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Can we have a C&D model for social care assessment?

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very different views on what D2A is, and this needs more guidance to clarify

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Will we be required to assure ourselves against the new model in the next set of BCF returns?

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Is there funding available to implement any of the enablers?

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Support of splitting Home First and D2A

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Need to embed support to carers and involving carers into MDTs, and in early discharge planning, and managing expectations as a key bit of good practice. Having it as a part of all changes might not give it the right focus, but it does need that as a minimum

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need to make sure Criteria Led Discharge and focus on simple P0 discharges are both principles for this (P3 on weekends is a red herring!)

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can we make sure UEC team and other national programmes are key stakeholders, so they dont cook up their own 100 day challenge changes that sit alongside?

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NHS England — London » Carers and Hospital Discharge

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NHS London has launched a new Carers and Hospital Discharge Toolkit to improve the experiences of carers and the people they care for during the hospital discharge journey.

Designed for London hospitals and community providers in partnership with Carers UK, Mobilise, Carers First, Carers Trust and the London Association of Directors of Adult Social Services (ADASS), the co-produced resource provides action-orientated top tips to better support Londoners when someone they care for is being discharged from hospital.

A carer is anyone who provides help to a family member, partner or friend who needs help because of their illness, frailty, a mental health problem or an addiction and cannot cope without their support.

2021 census data revealed there are almost 600,000 Londoners providing unpaid care in the capital. Where unpaid carers of patients are identified, recognised and involved in discharge planning, re-admissions to hospital are reduced, patient outcomes improved and carers wellbeing sustained.

With this in mind, almost 400 London carers, NHS and care sector professionals have contributed to the development of the Carers and Hospital Discharge toolkit, highlighting tried and tested best practice measures and providing a basis for operationalising the new hospital discharge and community support guidance and supporting information for Integrated Care Systems on virtual wards.