Admission criteria and screening protocol were developed.

 

A single point of contact allowed ease of  access and improved communication.

Team members used an issues log.

 

The daily MDT meeting asked; ‘What is keeping this person here?’

 

Processes were mapped and data collected.

Aim of project in Pavilion 3 (30 bedded rehabilitation unit at Ayrshire Central Hospital) was to:

 

• Identify patients in acute care most likely to benefit from intensive rehabilitation and work with them to set personal goals and develop a tailored rehabilitation plan aimed at securing their safe return home
  
  
• Reduce demand for acute care, length of stay for those requiring acute support and length of time to discharge from an acute setting for those who require access to hospital- based rehabilitation services
  
  
• Create a dynamic community based unit that promotes wellbeing and empowers individuals to be as independent as possible.
  
  
• Offer  an  alternative  to  acute  hospital  admission,  support early discharge
  
  
• Improve the individual’s experience and ensure they receive appropriate support
  
  
• Provide a protocol and admission criteria for acute services
  
  
• Develop a reporting framework to measure outcomes
  
  
• Develop local links and third sector services
  
  
• Ensure appropriate professional support for those with complex needs, long term conditions or end of life needs