Please or to access all these features

Elderly parents

Hospital Discharge - how do I insist on help?

61 replies

DorsetCamping · 03/05/2020 17:37

DM (75) is currently in hospital officially with a chest infection (non COVID) but in reality alongside many other problems.
One concurrent condition she does have is severe lymphodema and leg ulcers (diabetes and obesity related). Her feet are also dreadfully cracked and massively painful to walk on. This has been going on for 3 months.
She has been having a (social services) carer come in daily for 30 minutes to strap her legs but that is it. She has been told she needs to keep the weight off of her legs (ie sit down) but needs to get up to prepare meals etc, causing dreadful pain.

The physio has spent 20 mins today to assess mobility and has suggested more grab frames are installed at home but that's it. She also said that because of where DM lives support will be limited Confused

An OT will be seeing her in the morning with a view to discharge. I am petrified they will just let her go home without an adequate plan in place and she will just end up back in hospital. Obviously I can't go the hospital at the moment to discuss a care plan either.

Has anyone else faced a similar situation or has advice on what I should do?

OP posts:
DorsetCamping · 03/05/2020 18:32

Well I say social services but I don't actually know for sure Confused
What I do know is that when DM told the lymphodema clinic that she couldn't do her own leg strapping (her size and arthritis made it impossible) they contacted someone and a carer appeared. apparently it's a trial for 6 weeks but no mention of costs 🤷‍♀️

OP posts:
LangClegsInSpace · 03/05/2020 18:32

Unfortunately the new hospital discharge requirements mean that patients must be discharged as soon as they are clinically well enough, before there is a needs assessment or an agreed care plan.

www.gov.uk/government/publications/coronavirus-covid-19-hospital-discharge-service-requirements

The guidance says that people should have a full needs assessment within a couple of days of discharge from hospital.

The Coronavirus Act allows for local authorities to not do full needs assessments if they are overwhelmed because of staff absence and/or increased demand. So far eight local authorities (that we know about) have implemented the emergency measures: Solihull, Warwickshire, Middlesbrough, Staffordshire, Birmingham, Sunderland, Derbyshire and Coventry.

www.disabilitynewsservice.com/coronavirus-concerns-over-councils-rushing-to-free-themselves-from-care-act-duties/

The full guidance is here:

www.gov.uk/government/publications/coronavirus-covid-19-changes-to-the-care-act-2014/care-act-easements-guidance-for-local-authorities

They can't just use the measures as and when, they have to make a proper official decision, keep a record of the decision making process and report it to DHSC. They also have to tell service users and carers that they are implementing the decision.

Assuming your local authority have not implemented the coronavirus measures (if you are not sure then ask) then your mother is entitled to a full needs assessment and you are also entitled to a full carer's needs assessment. You can have these together at the same time if you are both happy to do that.

Good luck OP, it's an incredibly worrying time. Definitely get in touch with AgeUK as well.

LilacTree1 · 03/05/2020 18:11

The care that was being provided was on social services, don’t they have a duty of care to still go?

LilacTree1 · 03/05/2020 18:10

Yes, agree put it in writing

How far away are you?

One time my dad was threatened with unsafe discharge, we were able to say that mum wasn’t well enough to look after him and both children approximately two hours away with full time jobs.

cookingmywaythroughlockdown · 03/05/2020 17:58

You've got no chance op tbh. Discharges are really being pushed. Put it In Writing that you will not support and believe her to be at risk. Nothing else you can do.

DorsetCamping · 03/05/2020 17:56

Definitely not allowed into hospital.
My feeling is that DM will have told them I will go over daily and help her, which whilst I will do what I can, I cannot commit to, especially during this lockdown. I have young children at home.

OP posts:
HeadOfTheCongaLine · 03/05/2020 17:51

Don't agree to anything if you're unsure (this is assuming you're going to be discussing it with them over the phone/ email of course).
We agreed to my dad being discharged, with help arranged by social services, and then had a real battle to get any decent help at all. Once he was sent home from hospital we were left swinging. I was told by a social worker that other people were more in need, so they had priority.

HRH2020 · 03/05/2020 17:51

Contact Age UK ?

Ishoos · 03/05/2020 17:46

Ask for a conference call with the discharge team, my hospital has a vulnerable patients team and we were allocated someone from them to help with the discharge, also has he been referred to social services. Before CV, my mum was discharged to a rehab facility who then assessed her/ supported her the get home/ worked out what care she needed. It will also depend on if she would get funding or can afford to pay. Good luck.

HeadOfTheCongaLine · 03/05/2020 17:44

Tell them you feel it is a safeguarding issue, keep using that word. Make sure they know you want everything in writing and that you want a named person to sign it. I cannot stress enough how important it is that you get everything in writing.

LilacTree1 · 03/05/2020 17:40

Are you completely banned from the hospital?

Can you ask to speak to the social worker and tell them it’s an unsafe discharge?

Please create an account

To comment on this thread you need to create a Mumsnet account.

This thread is closed and is no longer accepting replies. Click here to start a new thread.