Most discharge problems are predictable. A missing medication list, a follow-up nobody booked, a home that is not ready. This list covers the things that are easy to miss when you are tired and keen to leave.
Ask a family member or friend to hold the list and ask the questions. It is hard to advocate for yourself in a hospital bed.
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Paperwork
5 checksClinical care at home
5 checksHome and support
6 checksWarning signs to take home
Ask the ward what should make you call for help. Write it down. Common examples include fever, new confusion, breathlessness, chest pain, a wound that is hot or leaking, not passing urine, or vomiting that will not stop.
Ask which number to call for each: the ward, the GP, NURSE-ON-CALL, or 000. Put the numbers on the fridge.
The question people forget
"What can I not do for the next two weeks?" Ask it. Driving, lifting, stairs, showering alone, work, alcohol, sex. The answer is often more specific than the generic leaflet.
If you do not feel ready
You can raise concerns about safety at home. Ask to speak with the discharge planner, the treating team or the hospital's patient liaison service. They can review what support is available before you leave.
Being discharged is not the same as being recovered. It means the acute problem is treated. The recovery is the next part, and it needs a plan.
Common questions
Can I refuse to be discharged?
You can raise safety concerns and ask for a review. Speak to the discharge planner or patient liaison service. Hospitals have a duty to discharge safely.
Who arranges nursing at home?
Sometimes the hospital. If not, your GP can refer you or you can arrange private nursing. Confirm before you leave.
What if my medication list is wrong?
Call the ward or your GP before taking anything that looks different. Do not guess.
How long should I have help at home?
Plan for two weeks and review. Some people need less, some more.
What if I live alone?
Tell the ward before discharge. Ask what support is available and arrange a check-in for the first 48 hours.
Sources and further reading
This guide is general information, not medical, legal or financial advice. If you are worried about your health, call your GP. In an emergency, call 000.