[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-171026-105":53,"doc-detail-171026-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","humber-and-north-yorkshire-system-choice-on-discharge-policy-december-2023","Humber and North Yorkshire - System Choice on Discharge Policy - December 2023","","Patient choice is a key driver of timely hospital discharge, yet it can also contribute to delays when people lack knowledge of options or feel uncertain about quality, costs, interim accommodation, and support arrangements. This policy sets consistent, sensitive processes for managing choice during discharge planning for adult inpatients in Humber and North Yorkshire NHS acute settings. It supports safe, timely departure when patients no longer meet criteria to reside and ensures effective information and support to enable informed decisions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/humber-and-north-yorkshire-system-choice-on-discharge-policy-december-2023/171026/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/humber-and-north-yorkshire-system-choice-on-discharge-policy-december-2023/171026.png","ImageObject",442,249,{"name":88,"@type":89},"8796093062539","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-19","2026-09-01",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Why can patient choice lead to delayed discharge?","Question",{"text":109,"@type":110},"Delays may occur when patients or families lack knowledge of available options and how services work, or when they have concerns about quality, cost, interim accommodation, or the suitability of their home.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What is the purpose of the policy?",{"text":114,"@type":110},"The policy ensures choice is managed sensitively and consistently during discharge planning, with effective information and support so patients can make informed decisions.",{"name":116,"@type":107,"acceptedAnswer":117},"Who does the policy apply to and when is it used?",{"text":118,"@type":110},"It applies to all adult inpatients in Humber and North Yorkshire NHS acute hospital settings and is used during pre-operative assessment, admission, and discharge planning.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},171026,1788278806,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":60,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":126,"read_time":15},8796093062539,"Humber and North Yorkshire\nSystem Choice on Discharge Policy\nDecember 2023\nThe on-line version is the only version that is maintained.  Any printed copies should, therefore, be viewed as ‘uncontrolled’ and as such may not necessarily contain the latest updates and amendments.\n\u000f\nAMENDMENTS\nAmendments to the policy may be issued from time to time.  A new amendment history will be issued with each change.\n\u000f\n\u0003Contents\n\u0013 TOC \\o \"1-3\" \\h \\z \\u \u0014\u0013 HYPERLINK \\l \"_Toc120535949\" \u00141.\tIntroduction\t\u0013 PAGEREF _Toc120535949 \\h \u00144\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535950\" \u00142.\tPurpose\t\u0013 PAGEREF _Toc120535950 \\h \u00144\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535951\" \u00143.\tDefinition/ Explanation of Terms\t\u0013 PAGEREF _Toc120535951 \\h \u00145\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535952\" \u00144.\tScope of the Policy\t\u0013 PAGEREF _Toc120535952 \\h \u00145\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535953\" \u00145\tPrinciples\t\u0013 PAGEREF _Toc120535953 \\h \u00145\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535954\" \u00146\tDuties/ Accountabilities and Responsibilities     \t\u0013 PAGEREF _Toc120535954 \\h \u00147\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535955\" \u00147\tManaging Choice\t\u0013 PAGEREF _Toc120535955 \\h \u00149\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535956\" \u00148\tReablement and Rehabilitation\t\u0013 PAGEREF _Toc120535956 \\h \u001410\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535957\" \u00149\tPalliative and end of life care\t\u0013 PAGEREF _Toc120535957 \\h \u001410\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535958\" \u001410\tCommunity Beds\t\u0013 PAGEREF _Toc120535958 \\h \u001410\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535959\" \u001411.\tOut of Area\t\u0013 PAGEREF _Toc120535959 \\h \u001411\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535960\" \u001412. Mental Capacity\t\u0013 PAGEREF _Toc120535960 \\h \u001411\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535961\" \u001413. Overview of Process for Timely discharge from acute care\t\u0013 PAGEREF _Toc120535961 \\h \u001411\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535962\" \u001414. Choice Escalation Process Summary\t\u0013 PAGEREF _Toc120535962 \\h \u001415\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535963\" \u001415. Consultation\t\u0013 PAGEREF _Toc120535963 \\h \u001416\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535964\" \u001416. Training\t\u0013 PAGEREF _Toc120535964 \\h \u001417\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535965\" \u001417. Monitoring Compliance\t\u0013 PAGEREF _Toc120535965 \\h \u001417\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535966\" \u001418. Arrangements for Review\t\u0013 PAGEREF _Toc120535966 \\h \u001417\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535967\" \u001419. References\t\u0013 PAGEREF _Toc120535967 \\h \u001417\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535968\" \u001420. Appendices\t\u0013 PAGEREF _Toc120535968 \\h \u001418\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535969\" \u001421. Impact Assessments\t\u0013 PAGEREF _Toc120535969 \\h \u001418\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535970\" \u001421.1 Equality\t\u0013 PAGEREF _Toc120535970 \\h \u001418\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535971\" \u001421.2 Bribery Act 2010\t\u0013 PAGEREF _Toc120535971 \\h \u001418\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535972\" \u001421.3 General Data Protection Regulations (GDPR)\t\u0013 PAGEREF _Toc120535972 \\h \u001419\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535973\" \u0014Appendix 1: Hospital Discharge and Mental Health Considerations\t\u0013 PAGEREF _Toc120535973 \\h \u001420\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535974\" \u0014Appendix 2 - Criteria to reside – maintaining good decision-making\t\u0013 PAGEREF _Toc120535974 \\h \u001422\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535975\" \u0014Appendix 3: Pathways for the Discharge to Assess Model\t\u0013 PAGEREF _Toc120535975 \\h \u001423\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535976\" \u0014Appendix 4: The principles guiding discharge arrangements\t\u0013 PAGEREF _Toc120535976 \\h \u001424\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535977\" \u0014Appendix 5: Summary of Legal Rights and Responsibilities\t\u0013 PAGEREF _Toc120535977 \\h \u001425\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535978\" \u0014Appendix 6: National Choice Leaflets\t\u0013 PAGEREF _Toc120535978 \\h \u001428\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535979\" \u0014Appendix 7 - Sample Choice Letters\t\u0013 PAGEREF _Toc120535979 \\h \u001429\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535980\" \u0014Appendix 8: Choice on Discharge Policy Implementation Checklist\t\u0013 PAGEREF _Toc120535980 \\h \u001430\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc120535981\" \u0014Appendix 9 - Definition/ Explanation of Terms\t\u0013 PAGEREF _Toc120535981 \\h \u001431\u0015\u0015\n\u0015\u0004\n\u000f\nIntroduction\nPatient choice is often cited as a reason for delayed discharge. This policy aims to support patient discharge to a setting which meets patient's individual needs and their preferred choice amongst available options but also recognises that to remain in the acute hospital setting should not be one of the ch","cbCaiedcfbLlbJ5l","https://ap.wps.com/l/cbCaiedcfbLlbJ5l","docx",1494641,33,"English","# Introduction\n## Purpose\n## Definition/Explanation of Terms\n## Scope of the Policy\n## Principles\n## Duties, Accountabilities and Responsibilities\n## Managing Choice\n## Reablement and Rehabilitation\n## Palliative and end of life care\n## Community Beds\n## Out of Area\n## Mental Capacity\n## Overview of Process for Timely discharge from acute care\n## Choice Escalation Process Summary\n## Consultation\n## Training\n## Monitoring Compliance\n## Arrangements for Review\n## References\n## Appendices\n## Impact Assessments","[{\"question\":\"Why can patient choice lead to delayed discharge?\",\"answer\":\"Delays may occur when patients or families lack knowledge of available options and how services work, or when they have concerns about quality, cost, interim accommodation, or the suitability of their home.\"},{\"question\":\"What is the purpose of the policy?\",\"answer\":\"The policy ensures choice is managed sensitively and consistently during discharge planning, with effective information and support so patients can make informed decisions.\"},{\"question\":\"Who does the policy apply to and when is it used?\",\"answer\":\"It applies to all adult inpatients in Humber and North Yorkshire NHS acute hospital settings and is used during pre-operative assessment, admission, and discharge planning.\"}]","Humber and North Yorkshire - System Choice on Discharge Policy - December 2023 | DOCX"]