Hospital discharge support
A seamless transition to specialist care and support
A well-structured hospital discharge process is essential for a seamless transition from hospital care to a supported living or residential home. At Achieve together, we understand the importance of this transition and are committed to providing comprehensive support that prioritises the individual's well-being and promotes greater independence within the community.
Our approach to hospital discharge
With over 25 years of experience supporting individuals with complex needs, we've developed a structured, compassionate approach to hospital transitions. Our process prioritises the wellbeing and unique requirements of each person while ensuring all clinical, emotional, and practical needs are addressed.
Why choose Achieve together?
Decades of experience
With over 25 years specialising in support for people with complex needs, our depth of expertise sets us apart.
Extensive network
We operate over 420 homes and services across England and Wales.
Dedicated specialists
Our transition specialists are trained to understand and manage complex needs, providing a tailored approach to each individual.
Person-centred support
Every transition plan is customised to meet the unique needs and preferences of the individuals we support.
Our streamlined process
- Pre-discharge planning: Collaborating closely with hospital teams, we develop comprehensive, personalised transition plans that encompass all aspects of an individual's care and support needs.
- Home preparation: Prior to discharge, we ensure that living environments are fully prepared, including necessary adaptations, equipment, and the presence of trained staff.
- Coordinated support: Our approach integrates medical follow-up, therapy services, and daily support to provide a holistic care experience post-hospitalisation.
- Transition day support: Familiar Team Members provide comfort and reassurance from hospital to home, helping to minimize stress during this significant transition.
- Comprehensive follow-up: We conduct regular reviews and make adjustments to care plans to ensure that evolving needs are continually met as individuals settle into their new environment.
Supporting families through urgent situations
We understand that hospital discharge can affect the whole family. Our clear communication, regular updates, and responsive support help families navigate this transition with confidence.
Our service options
- Residential support: 24-hour support in homely environments
- Supported living: Independence with flexible assistance
- Specialist services: For those with more complex care and support requirements
Our specialists are prepared to support your transition planning and ensure a smooth and secure move from hospital to home.
Phone: 03301 755 332
Email: referrals@achievetogether.co.uk
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