In BNSSG there are 4 hospital discharge pathways. These are know as Discharge to Assess (D2A).
In summary the pathways are:
Pathway 0: Home without formal support needs.
Most people will go home on this pathway.
Person discharged to the place they call home with no new NHS or social care support, but may receive informal support from friends, family or VCSE.
Pathway 1: Recovery and rehab at home.
The vast majority of people who need formal support at discharge will go home on this pathway.
Person supported to rehabilitate at home with tailored package of therapy and any other support needed.
Pathway 2: Rehab to home.
Only a few people will leave hospital on this pathway.
Person needs high level of support or rehabilitation that cannot be provided at home and continues recovery in community rehabilitation unit before returning home.
Pathway 3: Community bed.
Very few people will leave hospital on this pathway.
Person needs 24-hour bed-based care which is likely to be ongoing. They are cared for in a community assessment bed while long term needs are assessed and arranged.
Full details are given on the D2A pathways Staff Summary
If GPs have concerns about an individuals care pathway, the first point of contact would be the Sirona SPA Tel: 0300 125 6789
Please also see the Urgent Community Response - Sirona Remedy page.
Please see the Sirona website for details on Sirona Inpatient rehabilitation units.