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Care for 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. 

Hospitals in Staffordshire

Bucknall Hospital

Social Work Team

Eaves Lane, Bucknall

Stoke on Trent, ST22 8LD

Tel: 01782 273510  Fax: 01782 207532

email: bucknall.hospital@stoke.gov.uk

 

Cannock Chase Hospital

Social Work Team

Brunswick Road

Cannock, WS11 2XY

Tel: 01543 572757  Fax:01543 576929

email: cannockhospital.swt@staffordshire.gov.uk

 

Out of County (West Midlands Hospitals) Team

covering Wolverhampton, Walsall, and Dudley hospitals

Codsall Area Service Office

Social Care and Health Directorate

Histons Hill, Codsall

Wolverhampton, WV8 1AA

email: outcountyhosp.swt@staffordshire.gov.uk

 

Queen's Hospital

Social Work Team

Clock Tower Wing, Belvedere Road

Burton on Trent, DE13 0RB

Tel: 01283 566333   Fax:01283 516633

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 263844

email: robertpeelhospital.swt@staffordshire.gov.uk

 

St Michael's Hospital

Social Work Team also covering hospitals out

of the county in Birmingham, Derbyshire,

Warwickshire and Good Hope Hospital.

15 Trent Valley Road, Lichfield, WS13 6EF

Tel: 01543 414555  Fax: 01543 410273

email: stmichaelshospital.swt@staffordshire.gov.uk

 

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

 

University Hospital of North Staffs

Social Work Team

City General Complex

Newcastle Road, Stoke on Trent, ST4 6QG

Tel: 01782 553148/9 or 552095  Fax: 01782 633942

email: northstaffhospital@swann.stoke.gov.uk

 

Last Modified: 15/08/2007 08:57:33
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