Our early supported discharge teams provides an intensive service to people being discharged from hospital.
Our team helps people to leave hospital more quickly and return to their own homes so that patients can maximise independence as quickly as possible after being unwell.
Service is intensive in the home for the first two weeks. After this time treatment will gradually reduce in intensity over the next four weeks.
Services may include rehabilitation for:
- communication and/or swallowing difficulties
- washing and dressing
- preparing meals/drinks
- care givers support, teaching and education
Patients may also be supported by an ACC care package or district nurse if needed and this is organised prior to discharge. Any equipment must also be organised prior to discharge.
Through the Community Rehabilitation Enablement and Support Team (CREST) we can support people who would otherwise be re-admitted to hospital or residential care.
CREST provides interdisciplinary support for up to 6 weeks which may involve: nursing services; occupational therapy and physiotherapy; daily support worker service until the person can better manage at home. Services involve home-based rehabilitation; continuing clinical assessment to recognise any deterioration; development of agreed individualised support plans for long-term use in the home; improved education and information for the person and family; and liaison with general practice.