Integrated Transfer of Care Hub (Discharge)

When you no longer need to be in hospital, it is better to continue your recovery out of the acute setting.

Staying in hospital for longer than necessary may reduce your independence, result in losing muscle strength or expose you to infection.

From the day you are admitted to hospital, the staff involved in your care will work together with you and your relatives/carers to assess your needs in preparation for leaving hospital.

On the first day of your stay, you will receive an estimated date of discharge (EDD) which may change as your care progresses. During your admission should you or your relative/carer wish to discuss discharge planning please ask for the Discharge Coordinator.

The Integrated Transfer of Care (ITOC) Hub triage and process all referrals for any ongoing support requirements you may have, working closely with the wards multidisciplinary team and following national guidelines to ensure everyone has a shared understanding of the best outcomes for the patient.

Our top priority is to achieve safe and timely discharges whilst working closely with patients and their families using the home first approach. 

If you need more care and support than when you first came into hospital and returning home is initially deemed unsafe, you may require a period of further assessment in a community bed which can best meet your needs at this time.