I work in a hospital that admits patients from 3 Counties. The SW input from each country is totally different. I know that the Care Act was suspended during Covid and I know that the government agenda is for D2A where possible but my understanding was that for complex cases with questionable capacity, safeguarding concerns or lack of recourse to public funds, a SW can still case manage a patient in an Acute setting. One of the countries not only will not support at all until patient is home or in a D2A bed, they also insist that even after a period of rehab, sometimes up to 3 months, in a non acute bed, those patients needing poc or placement still are expected to use short terms beds/ services before seeing SW re long term plan.
I would be really interested in what other counties are doing as in the other 2 areas the support it's pretty good and some SW's have actually remained in the hospital, some attached to specialist teams. It is very confusing to have 3 differing approaches.