The following structure is recommended:
l Discuss patients needing multidisciplinary input;
l Give short summary of the patient’s name,
diagnosis, predicted length of stay, expected date of
discharge, care plan and action plan so far;
l Discuss whether the patient is medically fit or
stable enough for transfer or discharge, according to
the above definition;
l Decide an action plan as appropriate to the
patient’s needs;
l Summarise the action plan and the responsibilities
for follow-up.
Decisions and agreed actions must be clearly
documented and include the following:
l Summary of action plan, proposed discharge date,
and whether or not the patient is medically stable;
l A clear note of each discipline’s responsibility for
driving the discharge plan;
l Decision as to the professional responsible for
providing feedback on the outcome of the meeting
to the patient and/or carer.