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"Discharge home too early against request of family"

About: Integrated Community Services Service Delivery Unit / Hospital at Home (Physical Health) Worcestershire Royal Hospital / Older people's healthcare

(as a relative),

My elderly mother was discharged home from hospital under the care of the Hereford and Worcestershire home team following admission a few days before with difficulty breathing, oxygen requirement due to pneumonia/heart failure.

When rung by the team to say she was coming home I asked them not to discharge her as she was still complaining of not being able to breathe properly. The nurse said they would rediscuss with the clinicians.

The next thing I knew mum was already home brought by hospital transport. A few days later she became cyanosed with sats 68% when the paramedics arrived and was readmitted. Discharge was too early in a vulnerable patient (she had bilateral pleural effusions) despite the family raising concerns. 

Our understanding is The DNs had visited in the morning of the day if readmssion and told the hospital at home team they were not happy with our mothers condition, including saturation/colour but the Hospital at home team did not visit until late afternoon and called the paramedics immediately.

As a positive, they were always polite with our phone conversations. 

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Responses

Response from Johanna James, Operational Lead, Hospital at Home, Herefordshire and Worcestershire Health and Care Trust last week
Johanna James
Operational Lead, Hospital at Home,
Herefordshire and Worcestershire Health and Care Trust
Submitted on 03/10/2025 at 13:59
Published on Care Opinion at 14:03


Many thanks for your feedback and apologies that you did not experience the journey you were expecting for your mother on her discharge from hospital to community services.

I would like to reassure you that we have taken this incident seriously and we have investigated this within our community teams and have reflected and learnt from the feedback to ensure that lessons are learnt and to look at ways of improving the journey from hospital to home as much as possible.

It is good to hear that you found the staff polite on communicating with them and I hope that any future episodes are more as you expect.

Thank you for raising your concerns as this provides useful insight and learning for all of our teams across the hospital and at home and allows for us to look at improving services going forwards.

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