What is the Transfer of Care Hub?
Both Aintree and the Royal have site based ToC Hubs, that manage the discharges of all patients in hospital who may require some Health and/or Social Care Support to achieve a safe and timely discharge.
The role of the ToC Team is to facilitate the ‘Discharge to Assess’ process. The Discharge to Assess process simply means no long-term decisions are made in hospital about what you may need with assessments being completed in the most appropriate setting for you. For most people, this will be home.
It is a multidisciplinary team of Hospital and Community Health and Social Care professionals who work with patients and their families and carers to recommend an appropriate discharge pathway to ensure patients are receiving the right care in the right place at the right time.
As we continue to improve the processes around safe discharge from hospital, we have created a Transfer of Care Hub leaflet which gives advice to patients and their families and carers on the options available to support their discharge and them when they return home.
The leaflet is available on the Document Management System here.
From Tuesday 4 November, the electronic discharge summary (eDS) template in ADT dashboard will be updated to improve clarity, completeness and data quality.
Key changes include:
- Expanded “Changes in Medication” section to capture the rationale for new, amended or discontinued drugs.
- Revised section order to support a more logical clinical flow.
- New mandatory fields for AKI, blood transfusion, and relevant investigations.
- New in-line prompts and guidance to assist clinicians in providing the most relevant information.
We ask that senior clinical staff support junior team members as they adapt to the new format, and encourage good practice in writing clear, high-quality discharge summaries — helping ensure safe and effective transitions of care into the community.
For further guidance or to report any issues, please contact paul.
| Thumbnail | Title | Filename | Date Posted | Size |
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Staff Briefing - Transfer of Care Hub - RLH | Staff_Briefing_-_Transfer_of_Care_Hub_-_RLH.pdf | 14/10/2025 | 0.28 MB |
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Staff Briefing - Transfer of Care Hub - AUH | Staff_Briefing_-_Transfer_of_Care_Hub_-_AUH.pdf | 14/10/2025 | 0.28 MB |