Discharge management after an inpatient stay
When length of stay is short and care needs are high, the handover decides the outcome. We take on follow-on care in a structured way – with clear responsibilities from the day of discharge.
Step by step
How it works
- 1
Request from your hospital
Discharge management or social work reports the case via the handover form.
- 2
Clarifying needs
We agree the care required and name a permanent contact for the case.
- 3
Handover
Care begins within the network, documented in the shared care pathway.
- 4
Feedback
Digital feedback to the hospital on progress and care status.
What your hospital gains
- Relief for discharge management and hospital social work
- One contact instead of scattered responsibilities
- Documentation of the case that can be followed
- Fewer avoidable readmissions
Hand over a case
A structured handover request in a few minutes – processing and data handling within the EU.
Request a handoverMore services in the network
Hospital at Home
Continued care at home close to the hospital, medically and nursing-led, with video consultations and remote monitoring.
View service: Hospital at HomeWound care
Consultant-led, interdisciplinary wound care – agreed between practice, nursing service and hospital.
View service: Wound careCare management
Coordination across sector boundaries: one named contact, clear processes, consistent documentation.
View service: Care management
Let's talk about your follow-on care.
Whether hospital, care home or referrer – we will show you what a coordinated care pathway looks like in your setting.