Help after leaving hospital

Most people are able to leave hospital and return to the community with no additional support or services. Other people may need additional advice, support or services to help them.

These services will differ from county to county. In Swindon’s case these are designed or commissioned by NHS Swindon and Swindon Borough Council.

The ward multidisciplinary team e.g. Dr, Nurse, Therapist, will gain consent for a referral to the Integrated Discharge Team. Where appropriate they will work with you to make sure you have a structured plan of therapy, nursing or care or a mixture of these to help you plan for when you leave hospital.

They may also offer advice and guidance. If a goal focused plan is identified they will organise the support required to help you manage once discharged from hospital to help you stay as independent as possible. With your consent the Integrated Discharge Team will help you to access services to help you:

  • Regain your independence
  • Learn new skills and abilities for everyday living
  • Develop new skills to help with the effects of your illness or injury
  • Find support and the assistance you require to meet your on-going needs in the community

The Integrated Discharge Team will work closely with you to agree services to help you regain independence and return to the community on discharge from hospital.

If you don't qualify for a care package from Adult Social Care you could arrange to employ a care worker privately through a Home Care Agency but remember to take care to choose one that is registered and inspected by the Care Quality Commission (CQC). For more information visit the CQC website.

Paying for services in the community

You can contact any of the organisations listed below direct, but if you are still in need of advice and information, the Adult Social Care team are the first point of contact for all referrals and general enquiries relating to adult social care and support. You can contact them from 9am to 5pm, Monday to Thursday, and 9am to 4.30pm Friday. In an emergency, out of these hours, phone the Emergency Duty Team on 01793 436699.

Useful contacts

Integrated Discharge Team
Address: The Operational Coordinator, Liden Department, Brunel Treatment Centre, Great Western Hospital, Swindon, SN3 6BB
Phone: 01793 646120

Allied Healthcare Group (Swindon)
Address: Unit 22A & 22B, Apsley House, Royal Wootton Bassett SN4 7AQ
Phone: 01793 849800

Arriving Home / Going Home
Address: Great Western Hospital, Marlborough Road, Swindon SN3 6BB
Phone: 01793 604020

Care Quality Commission (CQC)
Address: Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA
Phone: 03000 616161
Fax: 03000 616171

Home from Hospital (Bristol, South Glos & Swindon)
Address: Bradbury House, Caxton Business Park, 83 Tower Road North, Warmley, Bristol, BS30 8XP
Phone: 01793 646376

Royal Voluntary Service
Address: Bristol Citizens Advice Bureau, 12 Broad Street, Bristol BS1 2HL
Phone: 0845 600 5885