Person: ____________________ Expected discharge: ____________________
Discharge coordinator: ____________________ Telephone: ____________________
Discharge coordinator: ____________________ Telephone: ____________________
Before leaving hospital
Written discharge or care plan received
It identifies support, frequency, monitoring, coordinator and emergency contact.
It identifies support, frequency, monitoring, coordinator and emergency contact.
Medication explained
List new, changed and stopped medicines; doses; timings; supply; collection and who will help.
List new, changed and stopped medicines; doses; timings; supply; collection and who will help.
Transport confirmed
Include mobility, oxygen, wheelchair and help entering the home where relevant.
Include mobility, oxygen, wheelchair and help entering the home where relevant.
Equipment delivered and usable
Confirm delivery before arrival and ask who to contact if equipment is missing or unsuitable.
Confirm delivery before arrival and ask who to contact if equipment is missing or unsuitable.
Follow-up appointments recorded
Dates, locations, transport, tests, therapy, district nursing and GP follow-up.
Dates, locations, transport, tests, therapy, district nursing and GP follow-up.
Warning signs understood
Write down what to watch for and exactly who to contact during and outside office hours.
Write down what to watch for and exactly who to contact during and outside office hours.
The home is ready
Safe route through the home
Entrance, chair, bed and bathroom are accessible, well lit and free from loose obstacles.
Entrance, chair, bed and bathroom are accessible, well lit and free from loose obstacles.
Heating, electricity and phone working
Phone and charger are within reach; key-safe or entry arrangements are confirmed.
Phone and charger are within reach; key-safe or entry arrangements are confirmed.
Food and drinks available
Suitable for current dietary, swallowing and preparation needs.
Suitable for current dietary, swallowing and preparation needs.
Personal items ready
Clean clothing, continence supplies, glasses, hearing aids, batteries and mobility aids.
Clean clothing, continence supplies, glasses, hearing aids, batteries and mobility aids.
First 48 hours
First evening covered
Name: ____________________ Time: ____________________ Phone: ____________________
Name: ____________________ Time: ____________________ Phone: ____________________
Overnight plan agreed
Who is present or on call, what support is expected and what triggers urgent help.
Who is present or on call, what support is expected and what triggers urgent help.
Next morning covered
Personal care, breakfast, medication, mobility and first professional visit.
Personal care, breakfast, medication, mobility and first professional visit.
Home-care visits confirmed
Provider: ____________________ First visit: ____________________ Phone: ____________________
Provider: ____________________ First visit: ____________________ Phone: ____________________
Family responsibilities are specific
Shopping, pets, laundry, prescriptions and appointments each have a named person.
Shopping, pets, laundry, prescriptions and appointments each have a named person.
Reviews and longer-term support
Short-term support review date recorded
Date: ____________________ Responsible person/team: ____________________
Date: ____________________ Responsible person/team: ____________________
Longer-term assessment route understood
Care needs assessment, financial assessment or NHS Continuing Healthcare discussion where appropriate.
Care needs assessment, financial assessment or NHS Continuing Healthcare discussion where appropriate.
Unpaid carer support considered
Ask whether a carer’s assessment or planned respite would help.
Ask whether a carer’s assessment or planned respite would help.
Important: this checklist supports planning but does not replace clinical instructions. Follow the written discharge plan. For an emergency, use the appropriate emergency service.