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in Sheffield we have a weekly improvement meeting with community health and social care staff in one of those weekly meetings one of the attendees asked when our patients the frail older ones have completed their acute phase of care why do we assess their ongoing support needs in hospital kitchens hospital bathrooms hospital staircases when actually those back in the patients own home are nothing like the ones we have in hospital environment that led to discussion one of our therapists volunteered said Id like to be the first one to try to flip this over instead of assessing a patient to plan their discharge support needs could we actually discharge a patient to their own home and assess them as they got home and meet their care needs in real time during that week a patient and their family were found and gave permission for this new way of working to be tested the next week the therapists reported out what happened she said I didnt think this was going to work as I got the patient
