Home from Hospital

This specification is for the provision of a citywide older people’s (60+) hospital discharge support service with follow on support at home to prevent readmission to hospital and care/support needs from increasing post-discharge. This contract will operate for three years, plus the possibility of extension by two years subject to satisfactory delivery of the expected outcomes. The service is expected to:

• improve the flow of older patients out of hospital
• address safety concerns at home and other barriers that prevent timely discharge
• ensure that essentials such as food and working utilities (by providing meter top ups, or providing information/referral to services that can resolve any issues) are in place when returning home
• improve well-being and confidence by connecting older people discharged from hospital with other services and community resources, and
• support or signpost to maximise income All of which will support to reduce the risk of readmission and the need for additional health and social care services further down the line.

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