Your guide to short term/discharge to assess (D2A) services

If you are considered likely to require some long term care and support

Nursing and residential care home beds and short term care at home may be provided if you require a period of assessment to determine your future care and support needs and you do not need to stay in hospital whilst this assessment takes place. The assessment will often be carried out by a range of professionals, from the NHS and/or Social Care.

Charging

Your worker has identified that you may benefit from a short term/Discharge 2 Assess service. Short term/Discharge 2 Assess services are generally provided free of charge for up to six weeks.

Should you require ongoing support following an assessment of your needs, you may be required to make a financial contribution towards the cost of any services subsequently provided to you. Your worker will advise you at the point that a service becomes chargeable and will discuss the process of financial assessment which will calculate what your contribution will need to be.

What are the services for?

They are intended to enable you to return to or remain at your home by helping you to regain your independence, skills and confidence, for example, after a period of illness. (This is often called reablement). There are a variety of different services to support you, either in your own home or in another setting such as a care home. They are organised as three different “pathways” and your particular circumstances will decide which type of support you need.

Pathway 2

If you cannot initially return home and would benefit from reablement provided in another type of setting

Housing with Care Short Term Placements is intended to provide a period of short term support to maximise your independence, if you are unable to initially safely return or remain at home, with a view to you returning home where possible. You will have your own self-contained flat, care and support will be provided by staff based at the scheme. You may receive support from therapists depending on your circumstances.

Residential care home beds are intended to provide a period of short term support to maximise your independence, if you are unable to initially safely return or remain at home, with a view to you returning home where possible. You will have your own room within a care home, care and support will be provided by staff based at the home. You may receive support from therapists depending on your circumstances.

Dementia residential care home beds are intended to provide a period of short term support to maximise your independence, if you are unable to initially safely return or remain at home, with a view to you returning home where possible. You will have your own room within a care home, care and support will be provided by staff based at the home. You may receive support from therapists depending on your circumstances.

Pathway 1

Services to support you to return home or remain at home

Short Term Home Support is a service to enable you to return or remain at home. Care and support will be provided by a home care agency, within your own home, supporting you to regain your independence, for example, if you have problems with mobility or carrying out personal care tasks for yourself. You may also receive support from other professionals such as physiotherapists or occupational therapists if specialist help is needed.

Dementia Community Promoting Independence is a specialist short term home support service if you are living with dementia. This may include support from a dedicated dementia specialist and therapist.