Would social services automatically step in in these circumstances?

[Namechangejustincase24]

If someone was admitted into hospital due to their poor living conditions? Would this be flagged by the paramedics?

It would be flagged.
How involved social services would get would depend on the person's capacity.

They are admitted to hospital? Yes. Safe discharge and duty of care etc etc. visit to A&E possibly not (depends I guess, and depends on what the issue is with living space).

I would say full mental capacity but not physical, but very unlikely to accept they need outside help.

How closely related are you? You can always raise your concerns with the Discharge Clerk

If she can't be discharged without carers coming in they will tell her that at the hospital.

If she still refuses to have them she'll become "a bed blocker" and the duty social worker will work hard to find a care home for her to go to. Thats partly what the duty social worker is for, to free up beds.

So thats really her 2 choices.

How well do you know her? It's really not a case of "wanting" carers. No-body "wants" carers. It's a case of "needing" them. I'd be telling her that quite firmly to be honest.

What do you mean by poor living conditions? They can't do their own personal care? Or they live in squalor?

If it's the latter, and they're deemed to have capacity, then they will likely be returned home, given that there are no legal ways of keeping them in care etc. They'll be offered support and likely subjected to safeguarding procedures, but, realistically, there is little we can do if a capacitated adult is refusing all services. A softly, softly approach is normally taken, trying to build relationships and trust etc., but it takes time.

Many areas don't have hospital social workers any more - the Discharge coordinators in the hospital do it instead under a process called discharge to assess.

The idea behind it was that pesky social workers were holding things up by doing annoying things like checking the home environment, doing a proper assessment and ensuring people's capacity was assessed and their human rights were maintained.

These days people are just discharged home with 2 carers 4 x a day whether they want/need that level of care. Unless they have any confusion in which case they are placed by the hospital straight into residential care whether that's done lawfully or not.

On more positive note the ambulance service will almost certainly have put the referral in to adult social care but it relies on the hospital letting adult social care know if they are planning on sending the person home

Flagged but services are stretched so thin it doesn't mean anything will happen at all.