Care after cure: creating a fast track pathway from hospitals to homes

Document type
Crawford, Emily; Read, Claire; Sim, Duncan
Date of publication
1 March 2016
Health Services, Social Policy, Social Work, Social Care and Social Services
Social welfare
Material type

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ResPublica’s latest report argues that delayed transfers of care must be resolved to free up much needed hospital capacity. The NHS, and hospitals in particular, are under increasing strain in terms of both funding and capacity.

There has been a sharp increase in A&E targets not being met, and many hospitals are nearly at full capacity.

This research builds on the findings of an earlier interim report, ‘The Care Collapse’, which revealed how much the health service relies on residential care.

Key recommendations:

  • Create a Fast Track Discharge Fund, which will pay for out-of-hospital beds and invest in residential care facilities.
  • Ring-fence part of the NHS budget to train and upgrade clinical care staff and facilities in residential care.
  • Conduct an independent review into the Better Care Fund to analyse operations, identify funding flows and recommend improvements.

In conclusion, this report finds that by commissioning the residential care sector to deliver rehabilitation, the Fast Track Discharge Fund will use precious healthcare resources more efficiently, and in a more preferred community setting.

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