Leaving Hospital? Here's How to Find the Right Care in Nottingham and Nottinghamshire

If you or a family member is leaving hospital in Nottingham or Nottinghamshire, this guide sets out what happens next and where to find help locally.

Being declared "medically fit for discharge" means the hospital has completed its acute treatment. It does not mean the person is back to full health. It means their recovery can continue in a more suitable setting, whether that is a care home or their own home with appropriate support.

Hospital discharge in Nottinghamshire involves coordination between several parties: the hospital discharge team, adult social care from either Nottinghamshire County Council or Nottingham City Council depending on where you live, your family, and care providers. Decisions often need to be made quickly, which can feel overwhelming.

You may be offered options including care homes, home care, or intermediate care to support recovery. Remember that you have the right to participate in these decisions and can request additional time if you feel rushed.

Care home fees in England are funded in three main ways. Understanding which route applies to your circumstances in Nottinghamshire is important.

It's common to feel worried about cost at this stage. Take time to understand which route applies to you, and don't be rushed into decisions you're not ready for.

NHS Continuing Healthcare (CHC) provides fully funded care for people with complex ongoing health needs. When someone qualifies, the NHS covers all care costs, whether in a care home, nursing home, or their own home.

CHC eligibility depends on assessed health needs rather than any specific diagnosis. Assessors examine areas including mobility, nutrition, continence, behaviour, cognition, and psychological wellbeing. Those with a primary health need may qualify for full NHS funding.

The CHC process starts with a checklist screening and may progress to a full assessment using the Decision Support Tool. You are entitled to be part of this process and can request an assessment if you believe your relative might be eligible.

Many families do not know CHC exists. If you think your relative might have complex health needs, ask the hospital discharge team about a CHC assessment. You can also request one yourself.

Care homes are not the only route after hospital discharge. Other options may be available depending on your relative's situation.

• Reablement services: short-term intensive support (usually free for up to 6 weeks) to help someone regain skills and independence at home
• Intermediate care: a temporary placement in a care facility or support at home while recovering
• Community nursing: district nurses who visit at home for medical care like wound dressing or medication management
• Home care packages: carers visiting at home to help with washing, dressing, meals, and medication
• Occupational therapy: assessment and equipment to make the home safer (grab rails, shower seats, raised toilet seats)
• Falls prevention services: physiotherapy and strength exercises to reduce the risk of further falls

If alternatives might suit better, speak with the discharge team and your local council. Contact details for Nottinghamshire services are listed below.