Supported Discharge

Mark Jones made this Freedom of Information request to Torbay Care Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was partially successful.

Dear Torbay Care Trust,

The local authority has directed me to Torbay Care Trust as the potential holder of the following information. Any assistance in acquiring this information is gratefully received.

Social Workers are employed to work out of local
hospitals to facilitate safe discharge. This support may take the form of a care package or personal budget.

In the year 2009-2010 how many people were provided with social work support on leaving hospital?

Furthermore can you please provide a general breakdown of the primary health condition necessitating the support. For example an individual admitted with a broken hip may need home carers to assist with personal care on discharge.

How many people received intermediate care or reablement services (short term support on leaving hospital)?

How much was spent on care packages for people leaving hospital as part of their discharge arrangements?

How many people received a social work needs assessment whilst an inpatient?

How many qualified social workers are working within your hospitals with regards to needs assessment and discharge support?

Thank you for your assistance in this matter.

Yours faithfully,

Mr M Jones

Torbay Rfi (Torbay Care Trust), Torbay Care Trust

1 Attachment

Email: [email address]

Direct Line: (01803) 210507

Our Ref: TOR1200

Dear Mr. Jones,

Request for Information TOR1200

Thank you for your request for information regarding supported discharge.
Your request was received on 6^th January 2011 and I am dealing with it
under the terms of the Freedom of Information Act 2000.

A response to your request for information will be sent to you promptly
and in any event no later than 2^nd February 2011.

I attach for your information a copy of our leaflet "How to Access your
Information".

For information on how we handle requests for information and our
publication scheme can be found by following the Freedom of Information
link on the home page www.torbaycaretrust.nhs.uk.

If you have any queries about this email, please contact me, quoting the
reference number above.

Yours sincerely,

Kevin

Kevin Pointer

Information Governance Support Officer

Telephone: 01803 210507 (Internal 58507)

Torbay Care Trust

Bay House

Riviera Park

Nicholson Road

Torquay

TQ2 7TD

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Pointer Kevin (TORBAY CARE TRUST), Torbay Care Trust

Email: [1][email address]

Direct Line: (01803) 210507

Ref: TOR1200

Dear Mr. Jones,

Request for Information TOR1200

I am writing to confirm that we have now completed our search for the
information you requested on 6^th January 2011 in relation to supported
discharge information. Our responses to your questions are as follows:

o In the year 2009-2010 how many people were provided with social work
support on leaving hospital?

This information is exempt under Section 12 of the Freedom of Information
Act (Fees).

I can confirm that the information you require is not held in a format
that allows it to be easily identified and extracted from our files.

In order to provide factually correct answers for the information you
requested we would need to perform a client by client analysis to
differentiate between those patients who were already in receipt of
services prior to hospital admission and, for those who had been, whether
their package of care had increased as a consequence of leaving hospital.

We estimate that it will cost more than the appropriate limit to consider
this question.

The appropriate limit has been specified in regulations, and for the NHS
it is set at £450.00. This represents the cost of one person spending 2.5
working days in determining whether the Care Trust holds the information,
locating, retrieving and extracting the information. We are therefore not
obliged under Section 12(1) of the Freedom of Information Act to respond
to this question.

For your information, it may be helpful to know that we do have support
services for carers in local hospital settings being administered under
the following initiatives:

1) We are currently piloting a Carers Support Worker in the
Multidisciplinary Hospital Discharge team.

2) Age UK are being commissioned to provide information advice and
advocacy for carers on the care of the elderly wards at Torbay
Hospital and the Stroke unit. They identify carers of patients and carers
who are patients, and offer advice and liaise with GP Carers & Support
Workers, or refer for assessment.

3) A Signposts Information Officer visits our two community hospitals once
a week to identify carers, give advice and signposting to support.

All the above will be evaluated in due course as part of a review of
hospital based support for carers.

In addition, at the Haytor Inpatient Psychiatric Unit there is a carer’s
support service on alternate Tuesday evenings for carers and families.
This offers early support and advice for those involved with a Mental
Health patient at the acute phase. The service also liaises with community
teams where appropriate.

o Furthermore can you please provide a general breakdown of the primary
health condition necessitating the support. For example an individual
admitted with a broken hip may need home carers to assist with
personal care on discharge.

Please refer to our answer to the previous question.

o How many people received intermediate care or reablement services
(short term support on leaving hospital)?

For the period from April 2009 to March 2010, I can confirm that the
following people received intermediate care or a reablement service:

Intermediate Care Referral Type No of
People
Accident & Emergency, Emergency Assessment Unit, Hospital 516
Inpatient, Hospital Outpatient
Hospital inpatient only 304

Of the 516 clients referred to Intermediate Care from a hospital setting
during the period April 09 – March 10, we have been able to identify a
diagnosis for 381 clients as follows:

Diagnosis Chapter No of
Patients
Certain infectious and parasitic diseases 2
Diseases of the blood and blood-forming organs and certain 2
disorders involving the immune mechanism
Diseases of the circulatory system 39
Diseases of the digestive system 11
Diseases of the genitourinary system 27
Diseases of the musculoskeletal system and connective tissue 40
Diseases of the nervous system 8
Diseases of the respiratory system 30
Diseases of the skin and subcutaneous tissue 3
Endocrine, nutritional and metabolic diseases 8
Injury, poisoning and certain other consequences of external 154
causes
Mental and behavioural disorders 4
Neoplasms 22
Symptoms, signs and abnormal clinical and laboratory findings, 31
not elsewhere classified
Grand Total 381

The 381 patients above were inpatients and therefore have an ICD code
(International Classification of Diseases) applied to their stay. We have
grouped these codes for summary purposes.

The remaining 135 patients would have been referred by either Accident or
Emergency (A&E) or Outpatients. There is no coded diagnosis applied to
these settings, and we are therefore unable to group these patients.

· How much was spent on care packages for people leaving hospital
as part of their discharge arrangements?

It’s difficult for us to provide an average cost for clients receiving
support as some clients will only need support for the short term e.g. 2
weeks, whilst others may receive it on an on-going basis. Therefore, a
meaningful figure is difficult to obtain. I can however tell you that the
average domiciliary care package across the Bay (excluding Learning
Disability Clients) is typically 7 - 8 hours of care a week, but this
excludes any community based nursing or allied health professional visits.

· How many people received a social work needs assessment whilst
an inpatient?

To locate the information for this question would require us to search
each individual record to ascertain whether the client was provided with a
social work needs assessment whilst an inpatient.

This information is not readily available from our systems. To locate the
information you requested would require us to search each individual
client record. Therefore this information is exempt under Section 12 of
the Freedom of Information Act (Fees).

· How many qualified social workers are working within your
hospitals with regards to needs assessment and discharge support?

I can confirm that Torbay Care Trust have 5 qualified social workers
working within our hospitals regarding needs assessment and discharge
support.

The information supplied to you continues to be protected by the
Copyright, Designs and Patents Act 1988. You are free to use it for your
own purposes, including any non-commercial research you are doing and for
the purposes of news reporting.

If you wish to re-use the information supplied, in whole or in part, for
any other purpose e.g. commercial publications, please write to me stating
what information you wish to re-use, the purpose(s) you wish to re-use the
information for. We will respond within 20 working days of receiving your
request with any conditions and charges that relate to the re-use of the
information in accordance with the Re-use of Public Section Information
Regulations 2005. Further information on the Re-use of Information can be
found on our website [2]www.torbaycaretrust.nhs.uk.

If you wish to discuss any of the above, please contact me, quoting the
TOR reference number above.

If you are unhappy with the way in which we have handled your request,
please contact the Information Governance Manager in the first instance.
If you wish to make a formal complaint, you should write to our Complaints
Manager at Torbay Care Trust, Bay House, Riviera Park, Nicholson Road,
Torquay, TQ2 7TD.

If you are not content with the outcome of your complaint or the internal
review, you may apply directly to the Information Commissioner for a
decision. Generally, the Information Commissioner will only make a
decision once you have exhausted the complaints and/or internal review
process provided by us. The Information Commissioner can be contacted at:
The Information Commissioner’s Office, Wycliffe House, Water Lane,
Wilmslow, Cheshire, SK9 5AF.

Yours sincerely,

Kevin

Kevin Pointer

Information Governance Support Officer

Telephone: 01803 210507 (Internal 58507)

Torbay Care Trust

Bay House

Riviera Park

Nicholson Road

Torquay

TQ2 7TD

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