News

A pioneering electronic referral system in Cheshire has slashed delayed hospital discharges by more than two thirds and enabled a seamless move to social care, writes Craig Kenny.

The system connects patient records at the Countess of Chester Hospital to Chester County Council social services access team, detailing information on their personal care needs and medical history.
It also notifies social workers of the dates when patients are fit for assessment and discharge, fulfilling the requirements of the Delayed Discharge Act.

In the ten weeks before the act was introduced in January, 15.2 bed days were lost due to delayed discharge; in the ten weeks since the new program’s introduction in March, this was cut to 4.2.

Rhiannon Wilson, access team leader at Chester social services, said, “We used to take telephone referrals from a nurse at the hospital, but we often had to ring them back for more detail.”

The access team is a “front door” for social services, with 14,000 contacts a year - so having to fill in any gaps in information put staff under pressure, said Ms Wilson.


“This approach has made a huge difference to my staff in having the information that we really need to fit an individual’s package of care. You don’t see inappropriate discharges now – the patient is the winner.”

The referral system is an extension of the hospital’s existing Medisec program and uses a secure connection to transmit data. Referrals can be made outside office hours and colour coding is used to alert social services staff when key data has been changed, such as the confirmed discharge date.