Darent Valley Hospital Bridging Service
This scheme is aimed at people who are leaving hospital and are living with dementia, confusion or cognitive impairment
The purpose of the scheme is to:
enable people, who are medically stable, to be discharged home safely
support people, post discharge, while they regain their confidence
support them to regain skills for activities of daily living that may have been lost during the hospital stay
establish a true picture of any on-going support needs
support them to regain the maximum level of independence possible
The service will be provided to people with a diagnosis, or symptoms, of dementia or cognitive impairment, on a short-term basis to provide a transition from hospital to home.
It is a service that can be offered for no more than four weeks post discharge and the duration will be based upon need.
It provides personal care support, assistance with, and monitoring of, activities of daily living.
A short-term night service can also be provided to help settle people post discharge.
To set up an appropriate package of care it is important that as much notice as possible is given prior to any discharge. As soon as someone is judged likely to be needing the Bridging Service (either on assessment in A & E or when admitted to a ward) contact should be made with the Alzheimer's & Dementia Support Service.
Our DVH team consists of Denise Kilshaw, Sarah Taylor and Madelene Harnett - they can be contacted in a number of ways:
Contact ext 6764
If Karen is not available you can contact Alzheimer’s & Dementia Support Services directly on 01474 533990 (Please make it clear that it is a DVH Bridging Service referral.)
Denise Kilshaw Ext 112
Michelle Gray Ext 110
Lesley Knight Ext 105
As soon as a potential patient has been identified we will start preparing for their discharge to the Bridging Service - this means that we need to start working on a Care Plan, Services Support, Risk Assessments, Carer / Family liaison, access, etc. If we have all the relevant information to enable the service to be established we should be able to start at quite short notice and prevent delays.
If an OT assessment has been made it will be very useful for us to have a copy so that we can support any on going mobility issues.
Once people have been discharged we will review their support needs regularly (weekly), monitoring improvements and adjusting the care package as appropriate.
By week 3 of the service we will be in a position to identify any on-going support needs and work with families / professionals to ensure a seamless transfer of support.