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Building on the work of the taskforce and the learning from the 14 NHS pilot sites and 12 social care sites that the taskforce has supported to date, 10 best practice initiatives have been identified that demonstrably improve flow and should be implemented in every trust and system to improve discharge.
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Identify patients needing complex discharge support early
Ensure multi-disciplinary engagement in early discharge plan
Set expected date of discharge (EDD)
Ensure consistency of process, personnel and documentation in ward rounds
Apply 7 day working to enable discharge of patients during the weekend
Treat delayed discharge as a potential harm event
Streamline operation of transfer of care hubs
Develop demand and capacity modelling for local and community systems
Establish flexible surge workforce capacity
Revise intermediate care strategies to optimise recovery and rehabilitation