Adults with Incapacity - delayed discharge: good practice guidance September 2023

Over the past 12 months Scottish Government have met with a wide range of health and social care partnerships from across the country to discuss Adults with Incapacity (AWI) delayed discharge rates. We have compiled examples of AWI delayed discharge good practice in this publication.


2. Common issues raised

The most common issues raised during HSCP meetings were:

  • a lack of trained MHOs, difficulty in recruiting MHOs and resulting MHO workload issues
  • delays with the court system causing backlog and delays to hearings
  • delays with the progression of private guardianships due to family

complexities and some delays in private practice

  • people being admitted to hospital with no Power of Attorney in place
  • no MHO or social work staff as part of hospital teams or involved in discharge planning
  • lack of consistency around the use and understanding of section 13ZA of the Social Work (Scotland) Act 1968 as a result of the Cheshire West case
  • delays in accessing legal aid for families wishing to progress guardianship orders
  • difficulty in accessing medical reports

These points were discussed, with many areas advising changes that they had implemented within their areas to improve practice to the process and for the person being supported.

Contact

Email: AWIReform.queries@gov.scot

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