Supported discharge service: Chesterfield Royal Hospital

The challenge

With ongoing patient flow challenges, Chesterfield Royal NHS Trust faced:

• A shortage of care capacity in the community

• High numbers of patients with no criteria to reside in hospital

• Patients being stepped up into Pathway 2 block bed provision awaiting a package of care

• Unnecessary extended hospital stay causing concern and anxiety to patients and families

Xyla was contracted to implement a uniquely collaborative, patient-centric end-to-end intermediate care service to help alleviate these pressures. Initially contracted to deliver a pilot‑scheme, Chesterfield Royal widened and extended the contract following the excellent results delivered.

Our solution

12-hour HCA provision

• Care packages delivered between 1–4 visits per day

28-day service model

• A structured 28-day service with the provision to support onward care requirement

Patient and family support

• Focused activity designed to reduce anxiety and confusion for patients and their families

Comprehensive case management

• Coordination and communication between all parties.
• Setting expectations with families.
• Keeping system partners fully informed

Impact

Through our solution, we helped reduce pressure by rapidly discharging patients, freeing up essential resources and capacity. This created a highly effective collaborative system that improved patient flow across the entire trust.