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Leaving Hospital: The Quick Reference

Leaving Hospital: the whole thing in five minutes, for when you want the numbers and nothing else.

Dr Priya Raghunathan, DClinPsy Clinical psychologist 3 min read 1 views
Leaving Hospital: The Quick Reference

Discharge: the point at which hospital care ends and whatever comes next has to already be arranged.

Key takeaways

  • Discharge plan: should cover medicines, follow-up and any care needed at home
  • Medicines: you should leave with a supply and written instructions
  • Most useful single change: Ask which of your usual medicines have been stopped, started or changed, and why.
  • Commonest mistake: Restarting old medicines that were deliberately stopped.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The numbers, in one place

Published figures for Leaving Hospital
MeasureFigure
Discharge planshould cover medicines, follow-up and any care needed at home
Medicinesyou should leave with a supply and written instructions
Your GPreceives a discharge summary, though not always immediately
If you are not readyraise it before you leave, or contact the hospital PALS team

In one paragraph

Most things that go wrong afterwards are medicines and follow-up, and both are settled in the hour before you leave.

Worth doing

  • Ask which of your usual medicines have been stopped, started or changed, and why
  • Get the follow-up arrangement in writing, including who is responsible for it
  • Ask what symptoms mean you should seek help, and who to contact out of hours
  • Check that any equipment or home care is in place before the discharge date

Worth avoiding

  • Restarting old medicines that were deliberately stopped
  • Leaving without a written summary of what changed
  • Assuming your GP already knows what happened

Where to go next

When to speak to a doctor

Seek urgent help if you develop a fever, worsening pain, breathlessness, or redness and swelling at a wound or drip site after discharge. Contact the ward, your GP or 111, and 999 if it is severe.

Where this comes from

  • NHS — Being discharged from hospital
  • NICE — Transition between inpatient hospital settings and community or care home settings

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Priya Raghunathan

Clinical psychologist writing on sleep, stress and mood. Insists that every technique we publish has been tried by someone with a job, a commute and no spare hour in the morning.

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