NHS England Board meeting, NHS Performance paper Appendix B, 17 December 2015
A summary of actions in place to drive improved early discharge and reduce delayed transfers of care: (Appendix B in full)
- Refreshed DTOC guidance: NHS England, DH, ADASS and ECIST colleagues have worked collaboratively to publish refreshed guidance on reporting delays providing clarity on definitions and processes, underpinned by practical resources that areas can use to implement and spread good practice.
- Toolkit for Independent Care Sector: NHS England is developing a Toolkit for Independent Care providers (both care homes and care at home) to support patient discharge from acute trusts to the care sector.
- ECIP support: Each system will have a length of stay (LoS) review – clinical deep dive looking at every patient with a length of stay > 7 days – to identify where blockages are. See http://www.ecip.nhs.uk/
- Increased nurse training: Health Education England has increased adult nursing education and training 4.2%; and the number of training places for district nurses by 16.5% for 2015/16.
- Community nursing commissioning framework: A Framework for commissioning community nursing has been developed by NHS England to support:
- Moving limited resource from hospital to community-based care;
- Understanding how community nurses can contribute to the effective commissioning of services;
- Effective discussion about the community nursing workforce including an understanding of workforce planning.
- Standards for district nurse education and practice: The new Queen’s Nursing Institute (QNI/QNIS) Voluntary Standards for District Nurse Education and Practice place district nursing at the centre of community healthcare.
