Supporting hospital discharge: Discharge to Assess part 2

So a while ago, I said I would do another post on the Discharge to Assess operating model, focussing on the detail, after my last post looked at the broad principles. It has taken me some time to do for a few reasons. Firstly, because I am expecting revised guidance as the emergency covid fundingContinue reading “Supporting hospital discharge: Discharge to Assess part 2”

Knowing your chickens from your eggs: distinguishing best interests decisions from public law decisions…

…and why that matters This is an issue that comes up a lot, and I have covered it in any number of training sessions I have led with practitioners and lawyers. So I am hoping that this will be useful to you too. Let’s start with what I mean by these terms. By public lawContinue reading “Knowing your chickens from your eggs: distinguishing best interests decisions from public law decisions…”

Maybe if I just lock the door…

…and other solutions that seem like common sense, but can actually create complex issues. I get these a lot, when a practitioner is doing a routine call and and a family member mentions something they are doing to support their family member. It seems perfectly sensible to them, but it raises a red flag inContinue reading “Maybe if I just lock the door…”

Brave new world: continuing healthcare delays under court scrutiny

I want to talk about the case if Surrey County Council v NHS Lincolnshire Clinical Commissioning Group from 2020. This case largely slipped past under the radar for anyone who doesn’t have a special interest in continuing healthcare and the interplay between health and social care. But it was very interesting to me, and itContinue reading “Brave new world: continuing healthcare delays under court scrutiny”

Supporting hospital discharge: Discharge to Assess part 1

This should really have been the first in my hospital discharge series, this being the most far-reaching of the policies I have explored. But its taken me a while to order my thoughts on this, and I’ve ended up breaking this into two posts. In this one, I’m going to talk ‘broad brush’ principles andContinue reading “Supporting hospital discharge: Discharge to Assess part 1”

Supporting hospital discharge: halfway hotels

This is the second in my series of posts about supporting hospital discharge during the pandemic. It will explore the as yet unnamed proposals for discharge hotels in all their complicated, vague glory. The first of those posts discussed designated settings for covid positive patients, and the complications involved in the creation of such settingsContinue reading “Supporting hospital discharge: halfway hotels”

Supporting hospital discharge: Designated settings

There are lots of bright ideas floating around at the moment about what social care can do to help ease pressures in NHS services. I’m going to talk through a few of them, because they are being made to seem much more straightforward than they actually are. Let’s begin with designated settings. When I talkedContinue reading “Supporting hospital discharge: Designated settings”

A response to the government’s Christmas present to us all

Just a quick post today that as far as I can tell, the provisions enabling respite that I referred to in my previous post about those in supported accommodation visiting family during the pandemic continue in the latest iteration of the coronavirus regulations in all tiers (even tier 4). My previous post is here. SoContinue reading “A response to the government’s Christmas present to us all”

Coronavirus lockdown: do all planned visits to family homes have to stop?

The answer, in short is, in my opinion, no. However, there are a number of issues to consider before a weekend with the family, or some formal respite, is supported. In this post, I’ll talk about 3 big issues, 2 legal, 1 practical. But before we get started, I just want to detail the kindContinue reading “Coronavirus lockdown: do all planned visits to family homes have to stop?”

Visiting in care homes

This continues to be a hot topic, understandably. And pressure seems to be mounting, with an overdue policy shift towards enabling visits beginning to develop. And rightly so. A ban for a few weeks was one thing, but it’s been months now, and there is no real end in sight. So this post will talkContinue reading “Visiting in care homes”