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Hospital-to-home

Smooth discharge support to help you settle home safely after a hospital stay.

Hospital-to-home
08Care Journal

"The first two weeks home decide the next six months."

About this service

What hospital-to-home looks like with us.

The first few days at home after hospital are the riskiest. Our hospital-to-home service starts on the ward — coordinating with the discharge team, picking up equipment and making sure the home is set up safely before you arrive.

In the first two weeks we provide more frequent reablement visits — focused on regaining confidence, mobility and routine — then taper back to longer-term support if it's still needed.

We work with your GP, district nurse and therapy team so nothing falls between services.

What's included

Everything in the package.

  • Discharge planning with the ward team
  • Same-day welcome-home visit
  • Equipment setup (frames, commodes, beds)
  • Reablement visits in the first 2 weeks
  • Medication reconciliation
  • GP and therapy follow-up
  • Family handover and updates
Who it's for

Typically a good fit for…

  • Anyone being discharged after surgery
  • Patients with new mobility needs
  • Older people at risk of readmission
  • Families coordinating from a distance
How it works

A clear path from first call to settled care.

  1. 01

    On-ward visit

    Our coordinator visits you on the ward to plan together with the discharge team.

  2. 02

    Home prep

    We collect prescriptions, set up equipment and make sure the home is safe before you arrive.

  3. 03

    Intensive 2 weeks

    More frequent reablement visits in the first fortnight to rebuild confidence.

  4. 04

    Step-down

    Visits taper to long-term support, or finish entirely if no longer needed.

Frequently asked

Answers to the things families ask us first.

Can't see your question? Our coordinator will happily talk it through — no obligation.

Talk to a coordinator
How quickly can you start?

Usually within 24 hours of discharge — and on the day if we've been able to plan with the ward.

Do you fit with NHS reablement?

Yes. We work alongside NHS reablement teams or pick up where they end.

Can family see what's happening?

Yes. Visit notes, medication records and any concerns are shared with named family members in real time.

Ready to take the next step?

Book a free home assessment. We'll listen first, suggest the right mix of support — and only start when you're ready.