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Going home after surgery

This section provides you with information about your discharge from hospital and any arrangements for follow-up care and support that you may need.

Planning your discharge

Once a discharge date is agreed, it is important that you consider the following:

  • Do you have suitable clothing and footwear to travel home in?
  • Do you have a key to access your property?
  • Has any equipment you need been delivered to your home or brought to the ward to be taken home?
  • Have you arranged for someone to pick you up and take you home? Please remember that you are responsible for providing your own transport unless there is a specific medical need requiring an ambulance.

We will aim to have everything in place so that you are able to leave the ward as early as possible on the day of discharge.

Patient on a hospital bed being handed a robe by a nurse. A relative of the patient is sat on a chair next to the bed

If there are any difficulties in returning to your home, you will be assessed, and a number of options may be considered and discussed with you and your family/carer.

These options may include:

  • a care package provided at home, which could be temporary or long term.
  • equipment in your home to facilitate discharge.
  • inpatient rehabilitation facility, if deemed appropriate by your therapist, for ongoing physiotherapy and/or occupational therapy.
  • if you are unable to return to your home, other options can be explored.

If you have no fixed address on discharge, you may be referred to social services who will be able to offer you advice and support.

Transport and being picked up after treatment

When you leave hospital after a ward stay, you will generally be able to make your own way home via public transport or your own arranged transport. However, for day case surgery, or where you have had an anaesthetic the same day that you are discharged, it is your responsibility to arrange transport and for a responsible adult to stay with you overnight.

Plan your discharge well in advance of arriving at the hospital and try to find someone who is flexible in case your date/time of discharge changes. This way, you won’t be anxious about who will take you home.

If, because of a medical condition, you require an ambulance to pick you up from the hospital when you are discharged, the ward team will arrange this.

Day of discharge

On most wards, you will be discharged when the clinical staff says you are fit to go home - this can be at different times of the day depending on test results and assessments. There are large numbers of patients admitted and discharged every day. It may therefore be necessary for you to vacate your bed early on the morning of discharge. If so, you may be moved to a discharge lounge in the hospital before going home.

Medication

A supply and explanation of your current medication will be given to you or your family/carer by the nurse. If you have any questions or concerns about your medication, please speak to the nurse caring for you.

In general, following minor operations, any pain can be controlled by using a mild pain-reliever such as paracetamol or ibuprofen (if you are able to tolerate it), which you should ensure you have ready at home. Your nurse will discuss pain control with you prior to discharge. If you find that your pain is not controlled when you are following the advice you have been given, please contact your GP.

Sick notes

Sick notes are not provided by the hospital. You will be required to self-certify your absence with your employer, and then you will need to arrange an appointment with your GP if you require a further sick note.

Discharge Summary

The Discharge Summary is a document sent to your GP within 24 hours of your discharge. It details the reason for your hospital stay, any tests you have undergone, and any further treatment or appointments you may require. You will receive an After Visit Summary with important information.

Follow-up care/outpatient appointments

If any follow-up treatment is required, arrangements will normally be made before you leave the ward. If this is not possible, you will be sent a letter advising you of the date, time and location of your follow-up appointment.