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Staffordshire County Council
Older PeopleReturning from hospital
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Leaving Hospital?

Using a walking frame

How Social Care and Health can help

If you or someone you know are in hospital, and are worried about coping on returning home, we can give advice and information and may be able to give practical help and support.

We have a team of social workers based in most hospitals and can arrange for an assessment to find out what help you could get.  This assessment is done by a social worker or home care assessor.   Other professionals may also be involved such as a doctor, nurse, Occupational Therapist, or Physiotherapist.

The views of relatives or friends will also be taken into account and if they provide a lot of care on a regular basis they may be entitled to their own assessment.  An independent person (an advocate) could also be present to make sure the patients wishes are heard.

What to do next

  •    Ask a nurse or ward sister to contact the Social Work team.
  •    Ask a relative or friend to contact us. 

What Happens when the assessment is completed?

Once the assessment is done a list of needs is drawn up called a Care Plan.  This plan will say what services need to be provided, how often and if there are any charges.  The plan needs to be signed which shows agreement to the services starting and a copy is given to the patient to keep.

There should be regular reviews after being discharged and this includes reviewing the services provided.  The first review will be after about six weeks and if care needs change a reassessment can be done which may mean a change in the care plan.

What happens after the discharge from hospital?

A member of the social work team will keep in contact for about six weeks.  Their job is to make sure the care plan works as it was meant to. 

Hospital Social Work teams in Staffordshire

Cannock Chase Enablement Team

Ivy House

202 Wolverhampton Road

Cannock, Staffs, WS11 1AT

Tel: 01543 510320

Fax: 01543 511097

Email: cannock.socialservices@staffordshire.gov.uk

 

Codsall District Enablement Team

Bilbrook House

10 Carter Avenue

Bilbrook

Wolverhampton

WV8 1HH

Tel: 01902 434003

Fax: 01902 434005

email: codsall.socialservices@staffordshire.gov.uk

 

Queen's Hospital Social Work Team

Clock Tower Wing, Belvedere Road

Burton on Trent, DE13 0RB

Tel: 01283 566333 Fax: 01283 593189

email: queenshospital.swt@staffordshire.gov.uk

 

Sir Robert Peel Hospital

Social Work Team

Plantation Lane, Mile Oak

Tamworth, B79 3NG

Tel: 01827 263800 Fax: 01827 475919

email: robertpeelhospital.swt@staffordshire.gov.uk

 

Samuel Johnson Community Hospital

Trent Valley Road, Lichfield, Staffordshire.

WS13 6EF Tel: 01543 412900 Fax: 01543 412970

 

Stafford General Hospital

Social Work Team

Weston Road, Stafford ST16 3SA

Tel: 01785 257731 / 01785 230920

Fax: 01785 230929

email: staffordhospital.swt@staffordshire.gov.uk

 

Moorlands Enablement Team

Eaton House

Buxton Road

Leek

Tel: 01538 483104

email: moorlandsenablement.duty@staffordshire.gov.uk

Last Modified: 17/02/2010 15:28:52
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