OP06 Facilitating hospital discharge through a housing support service: a mixed-methods evaluation in two UK hospital trusts

• DOI: 10.1136/jech-2023-ssmabstracts.6
• Publication Date: 2023-08-25T00:25:56Z
• Authors: Eleanor Holding; Alexis Foster; Elizabeth Lumley; Sarah Roxby; David Thorpe; Janet Gilbertson; Judith Holliday; Arron Peace; Ismaelette Del Ro...; Wajid Kahn

<h3>Background</h3> Delayed discharge from hospital is a global problem with negative consequences for patients and the healthcare system. Common causes of delayed medically ready are issues such as lack appropriate social care or housing their needs. However, whilst there now plethora non-medical interventions which have been developed to facilitate timely remains evidence on impact. To bridge this gap in we aimed explore impact support coordinator (HSC) processes, service user outcomes costs. The aim HSC was work related improve reduce chances readmission. <h3>Methods</h3> We conducted mixed methods process evaluation two UK trusts employing semi structured interviews users, staff (=16), secondary analysis routine patient data (N=488) an economic assess Framework undertaken qualitative using initial framework discussions NHS partners. Descriptive routinely collected data. used 'following thread' technique integrate different methods. A sense checking workshop ensure findings reflected stakeholder experiences. <h3>Results</h3> 488 people were supported by service. Almost thirds male (n=321). Service-users faced barriers. Over 25% experienced homelessness (n=136) further 52 challenges accommodation no longer meeting physical Service users appreciative received variety assistance medical priority, assisted bidding properties referral other services. Hospital at all levels felt facilitated significantly reduced stress clinical staff. Having officers embedded within patient's team access systems key. constrained unavailability stock wider service-users post discharge. <h3>Conclusion</h3> has demonstrated benefits services develop several recommendations will be use organisations wishing similar integrated It recommended hospitals experiencing barriers may want adopt model.