High impact change model: Managing transfers of care between hospital and home

This self-assessment tool for local health and care systems from the LGA offers a practical approach to supporting local health and care systems to manage patient flow and timely hospital discharge.

Along with an accompanying template, it can be used to self-assess how local care and health systems are working now, and to reflect on, and plan for, action they can take to reduce delays throughout the year and not just focusing on winter pressures.

This model, originally developed in 2015, has been refreshed in 2019 with input from a range of partners including the LGA, ADASS, NHSE&I, DHSC, the Ministry of Housing, CLG and TLAPP, and now includes the importance of Housing to improved integration (see Change 9)