Flow in providers of community health services: good practice guidance

NHS Improvement
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This guidance sets out good practice for providers of community health services, and the expectations of them over the next six months, to improve flow along the entire patient pathway. Good patient flow across health and social care systems is crucial for the NHS to run an effective and sustainable service. If patient flow is poor hospitals become congested, clinical outcomes are poorer, financial performance deteriorates and staff will be overstretched. The guide identifies nine measures, comprising: six essential measures all providers of community health services are expected to consistently implement (where not already in place) over the coming months; and three wider measures of good practice for consideration. The measures are: facilitate system-wide data-sharing; actively engage in the operational management of discharge across all local organisations; develop a ‘discharge hub’ referral and co-ordination service as part of an integrated discharge team; effectively implement a patient choice policy; ensure the services are well understood; collect and share data for Red2Green days, creating a feedback loop between senior operational staff and the clinical workforce; enable staff to work in different settings; assist patients to identify the best care packages for them; and take steps to make nursing and therapy roles more attractive. (Edited publisher abstract)

Subject terms:
good practice, hospital discharge, delayed discharge, NHS, integrated care, information sharing, choice, recruitment, nurses, therapies, community care;
Content type:
practice guidance
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