Before you leave the hospital, staff assess your needs and consider if you'd benefit from intermediate care services. We're a charity and we couldn't continue our work without your help. The discharge team speak in riddles and acronyms. Your care team must tell you if they believe leaving hospital could put you or others at risk, or if they’re considering stopping you by detaining you under the Mental Health Act. Leaving hospital No one enjoys having to stay in hospital and it’s understandable to want to know your discharge date as soon as possible. You will also need to let ward staff know about your plans so that they know where you are. Although the emphasis is now on ‘medical optimisation’ and very swift discharge prior to needs assessments and care planning being undertaken, there are still ways to resist an unsafe hospital discharge however advice should be sought as soon as possible given the restrictiveness of the new model. Was that right? Continue. When an adult with capacity refuses treatment, or decides to leave the hospital despite not having the recommended treatment, we have no authority whatsoever to stop them doing so. The only exception may be mental health patients for whom a discharge may place them or others at risk of harm. You may also want some moisturiser and lipbalm as the air can be quite dry. What should I do? Remember you don’t have to eat hospital food – friends and family can bring in home-cooked favourites, though you may not be able to heat it up at the hospital. Care and Treatment Planning is a way that secondary mental health services are assessed, planned, coordinated and reviewed for someone that lives in Wales. The assessment is free, regardless of your financial situation. This information was published in June 2018. 424348) in England and Wales. My mother has had repeat falls and multiple hospital admissions. leaving the UK to live abroad permanently going to work abroad full-time for at least one full tax year The tax year runs from 6 April to 5 April the next year. Secondary mental health services include the Community Mental Health Team (CMHT), Assertive Outreach Team and Early Intervention Team. This information applies to adults. It can be provided in a community hospital, care home or your own home. My father is being assessed for NHS Continuing Healthcare and I want to attend the assessment. Skip to content. What can I do if I don't want to stay in hospital? We can only hold you if you are an immediate threat to yourself or others (I’ve ordered Security to physically stop exactly one patient, who was on his second suicide attempt in three weeks and who I felt was not competent due to a brain tumor and meds. My mother has had repeat falls and multiple hospital admissions. If the person you care for was 18+ when they went into hospital then some benefits such as Disability Living Allowance (DLA) , Personal Independence Payment (PIP) or Attendance Allowance will stop if the person you care for has been in hospital for more than 28 days. Nevertheless, you should not be discharged from hospital until arrangements have been made to meet your continuing health and social care needs. Yes – if you need support from different people, you should be given community care under the Care Programme Approach (CPA) in England, or the Care and Treatment Planning (CTP) in Wales. It depends – if the care team is worried about the risks to yourself or others if you leave the ward, they may decide to section you. Since 1 September 2020, the policy has changed so that assessments for NHS CHC should no longer be carried out in hospital. If a doctor isn’t available, a nurse can stop you from leaving the ward for up to six hours until one can be reached. See our pages on leaving hospital for more information. These long-term acute hospitals or subacute hospitals help to rehabilitate people who need it. If she lacks capacity on this issue, it is more complicated. There are lots of different ways that you can support us. You should be involved in this assessment. This means they do not require treatment in the very near future. We're taking the nation's craftiest fundraiser online. Specialist community care lawyers answer the most frequently asked questions about being discharged from hospital. Nobody can stop you without risking a charge of assault and/or battery. This is partly to do with their treatment, but also because the hospital is a new and strange environment, full of new sights, smells, noises and people. A care coordinator is the main point of contact and support if you need ongoing mental health care. They could also say you can’t set up a business that competes with theirs. If your father has mental capacity to give consent to you being his representative, then he can do so if necessary. There is no charge for basic GP treatment for NHS patients who live in the UK. Sometimes a temporary placement is a good opportunity for further assessments to be carried out away from the acute hospital setting. These latter aims provide the sole reason for a clinician to restrain the second category of adult patients; those who have capacity. If your hospital has these rules you will just need to explain, they might want you to use a buggy to wheel the baby out of the hospital (we weren't supposed to carry baby anywhere, I got told of for carrying mine into the tea room. If you need help putting your views across, an independent advocate may be able to help. We will revise it in 2020. Explains your rights if you are having treatment in hospital as a voluntary patient. But you will be expected to take part in your treatment plan, which could include therapeutic activities and talking to staff. You will carry on getting the benefit. When you’re living with a mental health problem, or supporting someone who is, access to the right information is vital. In either case there are a range of assessments that should be undertaken by Health and Social Services to consider both her care needs and funding options. As a result of this assessment, a care plan should be written explaining how issues around your care and treatment will be addressed. It is important to note that patients can and should be discharged before resolution of symptoms provided they are deemed clinica… Will I be sectioned if I leave the hospital? My father is being discharged from hospital. If this is the case, you should be referred for a local authority needs assessment. From 1 September 2020, NHS Continuing Healthcare (NHS CHC) assessments should no longer take place in the hospital setting. The hospital wants to send my father to a nursing home for rehabilitation but I don’t think he’s ready to leave hospital. We're here to provide information and support. If you have been sectioned, or are under a community treatment order (CTO), the Mental Health Act says that you have the right to be given information on the ways in which you can leave hospital. There are charges for visitors from overseas, except in the case of an emergency. A care coordinator usually works as part of the community mental health team. This means they do not require treatment in the very near future. Having an assessment before you leave hospital. The emergency Coronavirus law, guidance and policy makes a number of important changes to hospital discharge arrangements and funding. It is paramount that your mother’s best interests remain at the centre of any decision-making. If mental capacity and best interests assessments are required, the Hospital Social Work team should ensure that these are completed while the person is still in hospital, before decisions are made about discharge destination. Take a mini-fan – hospital wards can be hot. Before you leave hospital your care staff will carry out an assessment that will summarise your needs so that the right level of support can be put in place. Mind Infoline is closed right now, for support visit our out of hours page. However, if you get any extra money in the benefit for another person, for example for a child or your partner, this will usually stop after you have been in hospital for 52 weeks: Basic State Pension If you want to leave, you most likely can. You will be given a care coordinator who is often a social worker or a nurse. View this information as a PDF (new window). They are also responsible for carrying out an assessment to work out your health and social care needs under the care programme approach (CPA). This is called a multi-disciplinary assessment. Together we’re Mind in Wales. You may want to go out for an hour, a day, or overnight, so it's important to be clear about how much time you want to spend on the ward. For more information on leaving hospital see our fact sheet called: Leaving the ward. Although the new discharge policy requires hospitals to discharge patients very quickly there are still ways to resist an unsafe discharge. We weren't allowed to leave without the car seat. It should be possible for you to keep your room while you are in hospital. This information applies to England and Wales. Yes – you can temporarily leave the ward if you are a voluntary patient. A care coordinator could be any mental health professional, for example: This is decided according to what is most appropriate for your situation. It is not uncommon to hear of the patient with capacity who resists hospital discharge; but who has no medical cause to remain.Their reasons are legion; but when all is said and done, they would rather stay in your hospital than return either to their home, or to another NHS establishment. This may mean arranging additional services on discharge. If you are detained in hospital, you cannot leave unless your responsible clinician gives you permission. ) If you're finding things hard emotionally right now, you're not alone. You can tell the staff members organising the assessment you want to attend– they do not normally have a problem with this and in fact it should be encouraged. She now wants to go home but the hospital and social services say she cannot as she needs 24-hour care. Going into hospital if you live in a residential care or nursing home. Tips, guidance and blogs to support your organisation. 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