Early safe discharge- January 2013

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Early safe discharge


Listed below is the high level evidence on Early safe discharge produced by NICE, SIGN and NHS based organisations. Also included are the European Society guidelines where available. This list is produced and maintained by HEFT Library Services to support VITAL 4 Medics core skills programme developed in the Trust.


HEFT Local Policies

Admissions and Discharges – SharePoint site

Highlights Trusts’ policies; discharge flow chart and bed management procedures.


Map of Medicine (MoM)

Use HEFT Athens ID to login to Map of Medicine.

Map of Medicine is a visual representation of evidence-based, practice –informed pathways on various conditions and treatment options. Discharge Planning forms part of the pathways and the evidence links to national guidelines and guidelines from professional bodies related to that specific condition or therapies.


National Guidelines & Non-UK Guidelines (includes Professional Bodies/Associations)


The SIGN Discharge Document (Guideline no. 128)

SIGN, June 2012

This replaces SIGN 65. The aim is to present a template for a single discharge document that can be used as both the IDD (in its core format) for every patient on the day of discharge, and as the final discharge summary/ letter (in its extended format) for more complex cases. This update reflects the fact that the production and communication of documents by electronic means within both primary and secondary care is becoming more common.


Homeless Link: Improving hospital admission and discharge for people who are homeless (PDF 1.38MB).

Homeless Link and St Mugo’s, June 2012

This report, produced jointly with St Mungo’s, draws together the direct experiences of clients and staff to provide an updated national picture of hospital admission and discharge practice for people who are homeless. Although effective processes have been developed many homeless patients interviewed for this study were discharged straight back to the streets often without housing or underlying health problems being addressed and resulting in readmission. The report makes recommendations at national and local level, highlights a number of initiatives that have worked well and provides a template for the hospital and discharge pathway.


From hospital to home: steps for hospital staff – identify need and take action (PDF 89.9KB)
Homeless Link and St Mugo’s, June 2012

This leaflet produced jointly by Homeless Link and St Mugo’s briefly highlights top steps that Acute staff can take at the time of admission and discharge of homeless people.



News: Hospitals discharging homeless people onto the street.

Homeless Link, June 2012

This news item highlights the London Pathway developed at the University College London for discharging homeless people.


Discharge planning: a guide

BMJ Learning Module, December 2010

Written by:

Mark Thomas, Niall Ferguson, Natasha Jacques, Liz Lees, and Helen Morant


Ready to Go? Planning the Discharge and the Transfer of Patients from Hospital and Intermediate Care.

Department of Health, March 2010.


Discharge Planning: a summary of DoH guidance Ready to go? Planning the Discharge and the Transfer of patients from Hospital and Intermediate Care

RCN Publishing Essential Guide, Spring 2010.


 Prevention Package for Older People Resources

Department of Health, March 2010.

This is a suite of downloadable resources designed to support PCTs, SHAs and Local Authorities in prioritising and commissioning services that support health and well being of older people.


Nursing and Midwifery Council – Guidance for Older People on Discharge Planning Healthcare Inspectorate Wales, March 2010.

The guidance is a review of arrangements in place across the Welsh National Health Service.


Discharge Planning

NHS Institute of Innovation and Improvement, 2008

This site highlights what is discharge planning; some key elements to consider at the time of discharge; types of discharge; role of bed management and impact of discharge planning.


Achieving timely ‘simple’ discharge from hospital : A toolkit for the multi-disciplinary team

Department of Health, August 2004.

The toolkit focuses on the practical steps that health and social care professionals can take to improve discharge.


Discharge from hospital: pathway, process and practice

Health and Social Care Joint Unit and Change Agent Team, January 2003.

This good practice guidance updates and builds on the Hospital Discharge Workbook published in 1994.


Systematic Reviews – Cochrane Library

Discharge planning from hospital to home

Sasha Shepperd1,*,  Jacqueline McClaran2,  Christopher O Phillips3,  Natasha A Lannin4,  Lindy M Clemson5,  Annie McCluskey6,  Ian D Cameron7,  Sarah L Barras8

Editorial Group: Cochrane Effective Practice and Organisation of Care Group

Published Online: 20 JAN 2010

The aim of this Cochrane Review was to determine the effectiveness of planning the discharge of patients moving from hospital.

Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home

Patriek Mistiaen1,*,  Else Poot2

Editorial Group: Cochrane Consumers and Communication Group

Published Online: 16 JUL 2008

The aim of this Cochrane Review was to assess the effects of follow-up telephone calls in the first month post discharge, initiated by hospital-based health professionals, to patients discharged from hospital to home.


NHS Evidence

Preventing emergency readmissions to hospital A scoping review

Ellen Nolte, Martin Roland, Susan Guthrie, Laura Brereton

Prepared by RAND Corporation for the UK Department of Health (England) within the Policy Research Programme (PRP) project “An ‘On-call’ Facility for International Healthcare Comparisons”, January 2012


Can good bed management solve the overcrowding in accident and emergency departments?

N C Proudlove1K Gordon2R Boaden1

Emergency Medicine Journal 2003;20:149-155 doi:10.1136/emj.20.2.149


Discharge, Referral and Admission: A Structured Evidence-based Literature Review,

Cummings, E., Showell, C., Roehrer, E., Churchill, B., Turner, B., Yee, K.C., Wong, M.C.,

Turner, P. (2010) eHealth Services Research Group, University of Tasmania, Australia (on behalf of the Australian Commission on Safety and Quality in Health Care, and the NSW Department of Health).