Hospital-to-home coordination
Support communication and coordination between hospitals, community services and care providers to help address barriers to discharge.
ALOC Safe Discharge Health
Connecting hospital discharge with the right support at home.
Supporting safer, more coordinated transitions from hospital to home and community-based care.
Explore the proposed model01 — Our purpose
Safer transitions.
Better coordination.
ALOC Safe Discharge Health aims to support safer, more coordinated transitions from hospital to home and community-based care.
We recognise the challenges faced by hospitals when patients are medically ready to leave hospital but require additional care, practical support or coordination before returning home safely.
Our proposed service model brings together healthcare organisations, care workers, community services, patients and families through a coordinated approach to discharge support.
02 — What we aim to provide
A coordinated route from hospital to community care.
Seven proposed service areas designed to help participating organisations address barriers, coordinate support and improve the transition home.
Care worker availability and matching
Develop a digital platform through which participating hospitals can view available, appropriately vetted care workers and request support according to a patient’s assessed needs.
Discharge support requests
Enable authorised hospital staff to submit requests detailing the support required, anticipated discharge date, relevant care requirements and other essential arrangements.
Community care support
Facilitate access to suitable home-based support, subject to individual assessment, workforce availability, service scope and agreed arrangements.
Complex discharge and care coordination
Support appropriate coordination for patients whose discharge requires input from multiple professionals or services, including older people and those living with frailty.
CHC and AACC pathway support
Explore appropriate coordination, administrative and consultancy services relating to NHS Continuing Healthcare, All-Age Continuing Care and associated pathways, within agreed professional responsibilities.
Training and consultancy
Develop training and consultancy opportunities in discharge planning, care coordination, patient flow and service improvement.
03 — Our proposed digital platform
A clearer view of every agreed arrangement.
We aim to develop a system that helps authorised hospital teams coordinate discharge support and helps participating care workers manage appropriate assignments.
01Submit discharge support requests
02View suitable workforce availability
03Request or arrange care support
04Receive booking confirmations and updates
05Monitor agreed arrangements
06Communicate relevant concerns appropriately
For participating care workers
Manage availability, view suitable assignments, confirm accepted work and record visit completion or concerns.
For administrators
Support workforce oversight, service coordination and operational reporting.
04 — Our objectives
Better connected.
More person-centred.
Help reduce avoidable delays in hospital discharge.
Support timely access to appropriate community care.
Improve communication between participating organisations.
Support patients and families during transitions home.
Help healthcare teams use resources more effectively.
Contribute to better-coordinated, person-centred care.
05 — Who we aim to work with
Partnership across the care pathway.
NHS trusts, integrated care organisations, community care providers, domiciliary care agencies, local authorities, appropriately qualified care professionals and other relevant partners.