Better transfers of care for older people

How to improve transitions from hospital
Event type: 


​About the event

Drawing on findings from reports by The King’s Fund, Healthwatch England, the National Audit Office, the Care Quality Commission and the Parliamentary and Health Services Ombudsman (PHSO), this event explored new ways of ensuring older people experience a safe, appropriate and timely discharge that is right for them and their health needs.


Session one: Opening plenary

Discharging older patients from hospital

  • Ashley McDougall, Director, Local Government, Health and Education, National Audit Office

The role of local authorities in improving transfers of care

  • Grainne Siggins, Director of Adult Social Care, London Borough of Newham, and Policy Lead, Association of Directors of Adult Social Services (ADASS)

Meeting the new NICE guidelines

  • Dr Olivier Gaillemin, Member, Guideline Development Group, NICE, and Consultant Physician in Acute Medicine, Salford Royal NHS Foundation Trust

Neil Tester: Safely Home - special inquiry findings

  • Neil Tester, Director of Policy and Communications, Healthwatch England

PDF icon Safely Home - what happens when people leave hospital and care settings?

  • Rosalind Pearce, Executive Director, Healthwatch Oxfordshire

Using occupational therapists

  • Karin Bishop, Assistant Director for Professional Practice, The College of Occupational Therapists

Addressing the challenge of discharge and patient flow

  • Dr Naomi Fox, Consultant Geriatrician, Poole Hospital NHS Foundation Trust

A person-centred approach to frailty at the front door

  • Louise Kellichan, Integrated Assessment Team Lead, NHS Fife

Front through to back door model

  • Lloyd Barker, Head of Adult Services, Sussex Community NHS Trust

  • Grace Hanley, General Manager, Brighton and Hove City Council

Discharge to access in Tower Hamlets

  • Brian Turnbull, Interim Service Manager Community and Hospital Integrated Services, London Borough of Tower Hamlets

  • Fiona Davies, Clinical and Project Lead, Bart’s Health NHS Trust

The Home First approach in Medway

  • Lisa Riley, Associate Improvement Manager, Emergency Care Improvement Programme, NHS Improvement

Hospital transfer pathway: the 'red bag' initiative

  • Viccie Nelson, Programme Director, NHS Sutton Clinical Commissioning Group

Providing care in people’s own homes

  • Mark Walker, Service Lead, Unplanned Care, Norfolk Community Health and Care NHS Trust (NCH&C)

Intermediate care

  • Claire Holditch, Project Director, National Audit of Intermediate Care and Director, NHS Benchmarking Network

Delivering better quality and more effective services for frail and elderly patients

  • Dr John Dean, Deputy Medical Director (Transformation) East Lancashire Hospitals NHS Trust

Working in the community to provide a 'one stop shop' to help people retain their independence and avoid hospital admission

  • Amy Newman and Katie Kew, Early Intervention Team, West Suffolk NHS Foundation Trust

Pulling together a risk share/benefit share arrangement to support more people going home faster

  • Tom Brown, Deputy Director, Adult Social Care, London Borough of Bexley
  • Sarah Valentine, Director of Commissioning, NHS Bexley Clinical Commissioning Group

Ensuring patients are receiving the right care in the right setting for them to improve the overall patient journey

  • Sue Wing, Deputy District Director, Barnsley Business Delivery Unit, Operational Directorate, South West Yorkshire Partnership NHS Foundation Trust

Supporting the discharge of end-of-life care patients from hospital

  • Nicole Woodyatt, Interim End of Life Care Programme Lead, MacMillan Cancer Support

  • Dr Joanne Bowen, Palliative Medicine Consultant, The Dudley Group NHS Foundation Trust

Lessons from ECIP to inform local sustainability and transformation plans

  • Liz Sargeant OBE, Clinical Lead for Integration, Emergency Care Improvement Programme, NHS Improvement

A national response to the need for system transformation to improve transfers of care

  • Victoria Bennett, Lead, Out-of-Hospital Urgent Care Programme, NHS England



Hilton Nursing Partners

Hilton nursing partners

NHS Benchmarking

NHS Benchmarking