On admission patients are assessed by nursing staff, occupational therapists and physiotherapists
A rehabilitation plan is created for each patient and goals set
Occupational therapists will determine if a visit to the patient’s home is required to assess equipment needs, etc
Each patient’s progress is monitored and reviewed
If deemed necessary, a referral will be sent to Adult Social Care for them to support with sourcing a package of care or resettlement location
Once the patient is reviewed by the physiotherapists, occupational therapists and nursing staff and deemed ready to go to their discharge destination a date can then be set
A patient is discharged from the hospital and any necessary referrals are made for them to be followed up in the community for example with district nurses or for ongoing physiotherapy
