Case studies

Transfer of Care Hub – helping to get people home

The Transfer of Care Hub is the next stage in an ongoing programme of work bringing together the expertise from community and acute teams under one roof to facilitate safe and effective transfers of care into and out of hospital.

Initially, this will mean:

  • Co-location of community, hospital and social care colleagues from Kingston Hospital, Hounslow and Richmond Community Healthcare, Your Healthcare and the two local authorities to support complex case discussions
  • Improved communication routes and sharing of workload between the different organisations to support patient flow

Good communication between different parts of the system is one of the best ways to improve outcomes and create a better experience for patients. The Hub builds upon existing relationships, allowing staff to learn from one another so they can develop into richer and more experienced professionals.

Coming together in this way will help us to get patients home more quickly and ensure they have the right support in place for their care to continue in the community. Over time, we hope this close partnership will also help to reduce trips to A&E and avoid unnecessary admissions.