Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the discharge process on patients in cross-county areas.

Enabling people to be discharged from hospital more quickly and with the right support contributes to speedier recovery and better outcomes. In some instances, this may mean discharging a patient outside of their local area so that they can receive the most appropriate short-term care after discharge. Some hospitals have excellent relationships and processes for cross-county discharges, although we know that in other instances these can cause delays whilst the care transfer hub determine responsibility for funding post discharge care.

The Hospital Discharge and Community Support Guidance sets out that integrated care boards and local authorities should agree local arrangements to ensure that any decisions about the joint funding of care can be made swiftly. These arrangements should follow the ‘Who Pays?’ guidance for services funded by the National Health Service, and reference ‘ordinary residence’ rules for services funded by local authorities, so that there is no adverse effect on timely discharge. Both sets of guidance are available at the following links:

https://www.gov.uk/government/publications/hospital-discharge-and-community-support-guidance/hospital-discharge-and-community-support-guidance

https://www.england.nhs.uk/publication/who-pays-determining-which-nhs-commissioner-is-responsible-for-commissioning-healthcare-services-and-making-payments-to-providers/