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Coming out of hospital

If you need short-term support to recover in a residential setting

This known as Pathway 2.

You may be able to recover further when you leave hospital before your long-term needs are assessed.

If so, we'll talk to you about what this might mean and arrange for a social worker, care manager or inreach nurse to assess your needs. They'll contact you in hospital to explain their role and support options available to you.

They'll then arrange to discharge you to a more suitable location and any settle-in support needed - either in your own home or a care home.

If your needs are too great to return to you own home, you may be discharged to a nursing home or residential care for further assessment out of hospital. 

During your stay, you'll get help with any tasks you're struggling with - like dressing or washing, for example. We'll help you adapt if you've lost any skills after your illness or operation.

Support over and above any you received before you went into hospital may be free of charge for a limited time. Check with your hospital discharge team worker how long your care will be funded and for how long after your discharge 0 funding for this type of supported is locally determined.

As your strength comes back, we'll review the level of support until you're able to return home.

If you're unable to return home, we'll work with you to look at other options, for example longer term residential care or live-in care.

If you need therapy rehabilitation before you can go home, therapists may agree and arrange to transfer you to a community hospital. Your recovery will then continue to take place in a hospital setting and the ward will tell us when they think you're medically fit and ready to be discharged. 

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