DEVELOPMENT OF
AN INTEGRATED HOSPITAL
RAPID DISCHARGE TEAM
Jo Philpott - Occupational Therapist, HRDT
Sally Howard – Physiotherapist, HRDT
Pre - HRDT
WARD
WARD
WARD
CDU
RAMU
Pre - HRDT
WARD
WARD
WARD
CDU
RAMU
Pre - HRDT
WARD
WARD
WARD
CDU
RAMU
Pre - HRDT
WARD
WARD
WARD
CDU
RAMU
Pre - HRDT Problems
WARD
WARD
WARD
CDU
RAMU
The HRDT Vision
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Every older person has a baseline function screen at
the front door; or within 24 hours of admission to
hospital
Every patient to have a therapy plan
Discharge as soon as medically fit
Fully Integrated Therapy Team - front & back door
How The Vision Was Received
How It Happened
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
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No rules anymore
COMMUNICATION!
We embraced change
Linking with voluntary
sector and community
services
What Works Well?
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SCT & BSUH quickly adapted & work well together
Increased resources → early screening of most
older medical inpatients
Purple HRDT assessment form, all notes in medical
notes
Daily morning meetings
Access to ‘immediate’ help in the community
Allocated ‘front door’ Social Worker
Preliminary Data
What Could Be Improved?
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Further links with community services
County differences
Training & competencies
Changing patient & family expectations
Improved communication with medical & nursing
staff
Pharmacy & transport
Discharge to Assess
HRDT
WARD
WARD
WARD
CDU
RAMU
Thank you for listening, any
questions?