Registered with the Care Inspectorate

Guide for families

Coming home from hospital: a checklist for families

A practical checklist for West Lothian families when a relative is coming home from St John’s Hospital or an Edinburgh hospital.

An older woman relaxing in her armchair at home, reading on her phone

Start planning early

Discharge planning should begin soon after someone is admitted. Ask the ward who is coordinating discharge and when a date is likely, and tell them early if you are worried about how your relative will manage at home.

Ask about an assessment

If your relative will need help at home, ask for a social care assessment before they leave. This is the route to council-funded support, free personal care and Self-directed Support. An occupational therapist may also check whether equipment, such as a raised toilet seat or grab rails, would help.

Before the day

Make sure the home is warm, the bed is accessible, walkways are clear of trip hazards, and there is food in the fridge. Check who will collect your relative and at what time, and who will be with them for the first evening.

On the day

Ask for a copy of the discharge letter and a clear list of medicines, including any changes and when each should be taken. Ask who to call if things are not going well, and whether district nurses, physiotherapy or follow-up appointments have been arranged.

The first 72 hours

The first few days at home carry the highest risk of falls, missed medication and readmission. Plan for someone to check in regularly, whether family, friends or care visits, and watch for confusion, poor eating or drinking, or new pain.

Arranging care at home

If your relative needs help with washing, dressing, meals or medication, care at home can start on the day they leave. Contact a provider as soon as a likely discharge date is known, so visits are ready. Support can be short term and reduce as confidence returns.

This guide is general information, not legal or financial advice. Rules and charges can change, so check with your local council. mygov.scot and Care Information Scotland have more detail.

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