Discharge from Hospital Care

• For at risk patients, the primary care team is required to contact the patient every day or more if required to ensure patient safety and connect with other members of the care team regarding any new or changing needs identified.

• Ideally the initial assessment should be undertaken by an NP or GP, ongoing assessment can be delegated to the nursing team with NP/GP oversight as required. • Clinical care and assessment tools, based on Midland HealthPathways are provided in this document. • Inform the CPRT team via email confirming the Provider delivering care (this could be a shared care model), the Level of Care (1 or 2), and whether a pulse oximeter is required. • Patients identified over the weekend will be managed by an alternate provider until formal handover can be made.

• If your patient is also under the care of other services, e.g., Hospice, District nursing please can you let these teams know, where possible. • If a COVID-19 positive patient contacts you before being contacted by Public

Health, take interim measures.

Advise the patient: • of their positive test result. • that they are now required to isolate at home. • that all their household members should get an immediate COVID-19 test and stay home. Household members can leave isolation to get tested. As long as there is no immediate need for COVID-19 care, advise the patient that Public Health will contact them about what will happen next and what they need to do.

• If you identify unmet social or welfare needs, contact the Community Co-ordination

Hub.

• For non-urgent virtual advice contact the on call medical SMO via switchboard

WBOP 07 579 8044

Discharge from Hospital Care

1. Following hospitalisation with COVID-19 a patient may be discharged back into community self-isolation to complete their recovery. The hospital will inform Public

Health and the CPRT at discharge. The CPRT will liaise with the relevant general practice to ensure ongoing care in the community.

2. These patients are automatically COVID-19 Care 2 for the remainder of their review period. The referring clinician will advise where the patient is in their illness. ToC is done at discharge, the patient will have a copy and the GP will be sent this electronically. Patient’s will also be provided with information packs for community care at point of discharge.