Chamber and committees

The Hospital Based Complex Clinical Care guidance was introduced in Scotland on 1 June 2015 following a review of NHS continuing care. A key aim was to ensure that anyone who needs to be in hospital for a longer period of time is to get them well enough to return to whatever setting is most suitable for them in the community while ensuring that all health and social care needs are supported.

Ministers and Officials meet regularly with Health and Social Care Partnerships (HSCPs), NHS Boards, Local Authorities and CoSLA to discuss a wide range of activity, including performance and hospital discharges. The whole health and social care system is working hard to support people out of acute settings and back into the community when it is clinically safe to do so. This includes ensuring that everyone is discharged from hospital without delay, and we are working to improve discharge planning through our Discharge Without Delay Programme (DwD) which aims to improve the patient journey, from the initial point of a hospital stay, preventing any delays through early and effective planning.

While the challenge is highly complex, ever shifting and dynamic, the foundations of DwD are based on simple patient centred principles which aim to enhance discharge and prevent delay, through early and effective planning, limiting hospital stays to what is clinically and functionally essential, and getting patients home at the earliest, safest opportunity.

The Scottish Government has also developed statutory guidance for Health Boards, Local Authorities and Health and Social Care Partnerships on effective discharge planning and carer engagement, Summary - Carers (Scotland) Act 2016: statutory guidance - updated July 2021 - gov.scot (www.gov.scot) . We have also funded Health Improvement Scotland to improve practice on carer involvement across health, with a focus on carer involvement in hospital discharge.