Llanidloes Day Hospital

1
Llanidloes Day Hospital

• Penrallt unit provides 10 places per day, 4 days
  a week for the elderly and rehabilitation client.
• Patients are referred from the local catchment
  area with a population of 8,700
• Patients are accepted by open verbal or written
  referral
• The work of the Day hospital helps to reduce the
  need for inpatient admission, facilitate early
  intervention for diagnosis and treatment and
  enable earlier discharge.

2
Our admission policy

• The patient is notified 7 days in advance of
  their first attendance.
• Assessment by the appropriate members of the
  multidisciplinary team is completed by the 3rd
  visit.
• An individual care plan is drawn up, stating
  treatment and review/discharge date.
• The patient and carer are involved in the
  planning, frequency and duration of attendance
  and updated regularly.

3
Process map of referrals
4
Issues raised

• All colleagues agreed that there was scope to
  improve the referral process through E-mail or
  I.T.links. Scottish Intercollegiate Guidelines
  Network (SIGN 2004) state that high quality
  referral letters are an essential part of good
  clinical care. This could take the form of
  letter, E-mail or Fax.
• All colleagues felt happy with the time in which
  it took for the client to attend further to
  referral,at present there is no waiting list.

5
Patient involvement

• All care should be centered around the
  patient/client,with the key requirement being
  patient focused bookings.(NHS Wales 2003)
• Some colleagues suggested a patient self referral
  system .The Modernisation Agency (2004) recommend
  developing referral systems to ensure rapid and
  speedy responses to patient referrals.

6
Good Practice

• All views and concerns should be incorporated,
  the emphasis being on improving patient/client
  satisfaction (NHS Wales 2003).
• To monitor this the Penrallt unit ensures each
  patient receives a post -discharge satisfaction
  questionnaire.
• Follow-up phone call 1 month post-discharge

7
Patient referrals to Day hospital 2003-2004

• The figures are over a twelve month period
• General Practitioner 11
• Social Services 2
• Dietician 1
  
  
• Hospital Wards 29
• Physiotherapy 3
• Occupational Therapy 2
• District Nurses 5