BHR Integrated Discharge Hub

Service relaunch

As of 11 July 2022, the NELFT Hospital Discharge Single Point of Access (SPA) service will be changing its name to the ‘Barking Havering & Redbridge (BHR) Integrated Discharge Hub’.

Originally, the service was set up in October 2021 based on the discharge-to-assess model to support hospital discharges. The BHR Integrated Discharge Hub sits within the intermediate care division of the Acute and Rehabilitation Directorate (ARD). The service aims to support the reduction in the length of stay for people in acute care, improve people’s outcomes following a period of rehabilitation and recovery and minimise the need for long-term care.

BHR Integrated Discharge Hub is a transfer of care hub delivered by enhanced Physiotherapy & Occupational Therapy support, Discharge Coordination Officers, Rehabilitation Assistants and Admin Staff support.

The Key Service Objectives are:

To co-ordinate safe and timely discharges from hospitals
To provide a single, trusted, integrated system wide report on discharge
To enable optimised outcomes for people
To provide a personal and positive discharge experience for people
To provide the best opportunity for people to recover, reable and maximise their independence

BHR Integrated Discharge Hub accepts referrals from any acute hospitals for BHR residents and BHRUT hospitals for out of area discharges, who are 18 + and clinically safe to be discharged from hospital. Hospital Discharge SPA supports hospital discharges via the following pathways:

Out of Area Hospital Support

For patients in out of area hospital being discharged back into BHR boroughs the service also supports and facilitates the following:

Equipment provision
Therapy access visits
Welfare visits by Rehab Assistants
Onward referral to Community Rehabilitation
District Nursing
Falls Service Support
End-of-life fast track process
Hospice care
Homeless people pathway and non-weight bearing pathway