GM-Wide

Wai Yin Society

Wai Yin Society provides a culturally appropriate service to people from the Chinese community requiring support upon discharge from hospital.

Stella Chu:
0161 272 7482
0161 833 0377
[email protected]
www.waiyin.org.uk

Service includes:

 

Befriending scheme (home visit, telephone/virtual contact)

 

Advice and information support (interpretation, welfare entitlements, well- being activities)

 

Ethnic food parcels (once a week)

Caribbean & African Health Network

CAHN’s Hospital Discharge Service supports Caribbean and African patients who are due to be discharged to their homes from hospitals across Greater Manchester and ensures they are able to safely settle in at home. CAHN’s dedicated team offers virtual and in-person services for those who require support in a culturally and religiously appropriate manner.

0771 002 2382
[email protected]
www.cahn.org.uk/project-and-services/hospital-discharge-service/

Service includes:

 

Helpline available 7 days a week from 09:00 – 19:00h (Monday to Sunday)

 

A single point of contact

 

A team of trained volunteer befrienders provide daily telephone check-in for the first 3-7 days

 

Practical support such as requests for prescription collection, hot/cold food, household energy, etc

 

Signposting to other voluntary organisations or statutory agencies for additional support

LGBT Foundation

0345 330 3030
[email protected]
https://lgbt.foundation

Service includes:

 

Helpline
Provides support and advice to LGBTQ+ people on a wide range of topics. The Helpline is also a gateway for further support, such as other LGBT Foundation services and community programmes.

 

Rainbow Buddies Befriending Service
Telephone befriending service open to all LGBTQ+ people who are experiencing social isolation. Also open to people over-50, people of colour, disabled people, seeking asylum or refuge, on a low income or unemployed, carers, or those unable to access LGBT Foundation support groups.

 

Substance Misuse Recovery Service
Provides support to LGBTQ+ individuals affected by drugs, alcohol and chemsex.

Key Changes

Key Changes promote positive mental health and wellbeing for young people and adults affected by depression, anxiety, PTSD, bipolar disorder, schizophrenia and other mental health conditions. They provide music-based recovery services for people leaving in-patient admission at Park House (Northern Manchester General Hospital) and other hospitals in Greater Manchester.

0330 174 1989
keychanges.org.uk/community

Their five- and twelve-week programmes offer:

 

Studio time with professional producer (trained in mental health awareness)

 

Mentoring in effective self-care techniques

 

Build resilience and self-esteem

 

Increase confidence and agency

 

Pathways to volunteering, work experience and education

 

All levels of experience supported, from music-lover to professional

 

SMS text reminders for every session

 

Liaison with mental health services

 

Signposting to wellbeing support

Royal Voluntary Service

*RVS supports patients living across Greater Manchester who have been discharged from the Manchester Royal Infirmary.

RVS provides volunteer-based support from the point of discharge to MRI Pathway 0/1/2 patients aged 18+. The service is available Monday to Friday, 9am to 5pm.

0161 850 8650 | 0755 754 4904
[email protected]
www.royalvoluntaryservice.org.uk/

Service includes:

 

Transport (home from hospital and/or to hospital appointment

 

‘Settle in’ support

 

Shopping and/or prescription collections

 

‘Safe and Well’ checks in person and ‘Check in and Chat’ telephone calls

 

Help building confidence and setting recovery goals

 

Supporting people living on their own / with no support / or are a carer

 

Nutrition guidance

 

Signposting and referring to partner orgs for community-based activities and support

Bolton

Age UK Bolton

Home from Hospital Service: Free service based at the Royal Bolton Hospital that provides up to six weeks support following a recent discharge from hospital or A&E. It is specially directed towards those aged 65 and older who live alone, or are a main carer. Service operates 7 days per week.

0120 439 0390 (extension 143520)
[email protected]
www.ageuk.org.uk/bolton/our-services/home-from-hospital-service

Service includes:

 

Practical support, incl. light cleaning and food shopping

 

Prescriptions collection

 

Help to attend medical appointments

 

Support & encouragement with daily tasks

 

Access to other services (e.g. befriending, lunch clubs and community activities)

 

Information & advice (blue badges and entitlements)

Bury

Age UK Bury

Age UK Bury’s Home from Hospital Service is targeted at people over the age of 50, living alone or with a carer, who are discharged from Fairfield General Hospital and live in Bury. This is a free service, offered for up to six weeks after discharge, and operates 09:00-17:00 Monday to Friday.

0161 763 9030
[email protected]
www.ageuk.org.uk/bury

Service includes:

 

Practical and emotional support

 

Regular telephone calls

 

Home visits and assessments

 

Prescription collection

 

Shopping / meal preparation

 

Transport

 

Small household jobs

 

Benefits check

 

Signposting to other services/specialist help

Manchester Care & Repair

Manchester Care & Repair takes referrals from North Manchester General Hospital and support patients primarily living in Bury.

0161 872 5500
[email protected]
https://careandrepair-manchester.org.uk/

Services provided by C&R include:

 

‘Settle back in’ support (tailored practical and emotional support, through a combination of home visiting and telephone support for up to 4 weeks)

 

Safe transport home (only NMGH referrals)

Manchester

Age UK Manchester

Age UK Manchester provide hospital discharge support to patients aged 60+. A dedicated team carries out home visits to all patients referred.

The Home from Hospital service is available seven days a week, including bank holidays, and the Home Care team can respond quickly to out-of-hours discharges. Patients are contacted on the same day they arrive home.

0161 676 8709
[email protected]
www.ageuk.org.uk/manchester

 

Practical tasks after leaving hospital like gas/electricity meter top-ups, feeding pets, collecting prescriptions, sitting comfortably, etc

 

Provision of a food parcel

 

Safe, well and warm checks

 

Advice and information, including signposting for benefits checks and other services/agencies where necessary

 

Identifying and making links with local community groups

 

Telephone befriending

Manchester Care & Repair

Manchester Care & Repair provide a variety of services to help people stay safe, secure and independent in their own home.

0161 872 5500
[email protected]
careandrepair-manchester.org.uk

Services provided by C&R include:

 

‘Settle back in’ support (tailored practical and emotional support, through a combination of home visiting and telephone support for up to 4 weeks)

 

Minor adaptations for hospital discharge (key safes, grab rails, etc.)

 

Handyperson service (home safety assessments, house adaptations, small repairs and maintenance)

 

Major home repairs, including emergency boiler repair and replacement

 

Case work service

 

Safe transport home (only NMGH referrals)

African Caribbean Care Group

The African Caribbean Care Group (ACCG) provides culturally appropriate care and support to adults aged 50+ that allow them to live well at home. Service is available Monday to Friday 9:00-16:30h.

0161 226 6334
[email protected]
www.accg.org.uk

Service includes:

 

Telephone support

 

Hot meals delivery

 

Food parcels

 

Befriending

 

Support for carers

 

Welfare rights advice / Advocacy (benefits check, energy advice, housing, finance, legal)

 

Wheelchair adapted transport

 

Access to community centre (well-being activities, fitness sessions, lunch club, personal care & support, foodbank)Access to community centre (well-being activities, fitness sessions, lunch club, personal care & support, foodbank)

Gaddum

Gaddum is a charity offering advocacy, carer support and therapy services to Manchester residents.

0161 834 6069
[email protected]
www.gaddum.org.uk

Service includes:

Gaddum

Gaddum is a charity offering advocacy, carer support and therapy services to Manchester residents.

0161 834 6069
[email protected]
www.gaddum.org.uk

Service includes:

 

1-1 support for carers, including learning and training opportunities

 

Advocacy support via a team of trained and experienced advocates who provide statutory advocacy (free and confidential)

 

IAPT services, providing assessment and therapeutic intervention

Royal Voluntary Service

*RVS supports patients living across Greater Manchester who have been discharged from the Manchester Royal Infirmary.

RVS provides volunteer-based support from the point of discharge to MRI Pathway 0/1/2 patients aged 18+. The service is available Monday to Friday, 9am to 5pm.

0161 850 8650 | 0755 754 4904
[email protected]
www.royalvoluntaryservice.org.uk/

Service includes:

 

Transport (home from hospital and/or to hospital appointment

 

‘Settle in’ support

 

Shopping and/or prescription collections

 

‘Safe and Well’ checks in person and ‘Check in and Chat’ telephone calls

 

Help building confidence and setting recovery goals

 

Supporting people living on their own / with no support / or are a carer

 

Nutrition guidance

 

Signposting and referring to partner orgs for community-based activities and support

Oldham

Age UK Oldham

Age UK Oldham’s ‘Promoting Independent People Service’ improves the quality of life of older people by building up their self-confidence and self-reliance. A PIP worker caries out visits on the same day as discharge, or next, to provide practical support.

Natalie Leach: 0161 622 9288
[email protected]
www.ageuk.org.uk/oldham/our-services/staying-independent/pip-service/

Service Includes:

 

Shopping

 

Minor repairs

 

Benefits checks

 

Information and advice, linking with longer term support.

British Red Cross Oldham

The Enhanced Patient Discharge Transport Service supports discharge and re-admission avoidance, aiming to reduce delayed discharge and prevent unscheduled readmissions by smoothing the transition from hospital to home for vulnerable patients.

Mandy Llewellyn-Rainey
0786 041 4063
[email protected]

Louise Shaw
0771 038 5889
[email protected]

Service includes:

 

Referrals within 1h from hospital

 

Transport home

 

Medication and equipment

 

Emotional support and companionship

 

Preparation of light meals

 

Signpost to other agencies

 

Follow-up call on the day after discharge

Tameside, Oldham and Glossop Mind

Under the ‘Steps to Home Service’, TOG Mind work in partnership with Age UK Oldham and Positive Steps to support individuals to live well when they have been discharged from being admitted to hospital, been allocated to a secondary care service such as the Community Mental Health Team and the Home Treatment Team, or had to attend A&E due to their mental health within the last 6 months.

0161 330 9223
[email protected]
www.togmind.org/access-and-crisis/services

TOG Mind offer a wrap around service which includes, but is not limited to:

 

Mental health support

 

Practical and social support, such as housing, benefits, debt management, meal delivery services and wellbeing sessions.

Rochdale

Heywood, Middleton and Rochdale Circle

HMR Circle Home from Hospital Service take people home from hospital and offer some post-discharge support. Service is available to Rochdale residents being discharged from Rochdale Infirmary, Fairfield General Hospital, North Manchester General Hospital and Royal Oldham Hospital.

Mark Wynn
0800 112 3440
0170 675 1165
[email protected]
hmrcircle.org.uk/home-from-hospital-service

Service includes:

 

Accompany patient home as agreed within the discharge plan

 

Ensure that the home is warm and welcoming

 

Ensure that there is food and drink available in the home, supply basic food parcel (soup)

 

Make drink and light snack for older person on arrival home if required

 

Collect shopping, prescriptions if required

 

Prepare and/or serve drinks and/or simple meals with/for the patient if needed

 

Check the home for potential trip factors e.g. post and newspapers on the floor etc

 

Support patient to access Circle and other community services available to them outside of their home e.g. clubs, support groups etc

 

Assist in the provision of social and therapeutic support to users of the service, helping patients to re-establish social links and activities, accompanying patients to shops, post office etc.

All referred patients receive 12 months of complimentary Membership of Circle with access to an extensive social programme, befriending, practical and digital support as well as access to the award-winning HMR Circle Volunteer Drivers Service.

Gaddum

As part of the ‘Thinking Ahead’ pathway, Gaddum offer the ‘Getting Help’ service in Heywood, Middleton and Rochdale. This service provides support to help people overcome barriers in meeting health and social care needs that are impacting on their wellbeing and mental health. The team works with people to address unmet health and social care needs, build resilience and enhance independence.

Gaddum also works with five partner organisations, who all have established links within the community, to provide tailored support to their service-users.

0170 675 1180
[email protected]
www.thebiglifegroup.com/service/thinkingahead/

Gaddum offers support to individuals whose low mood/anxiety is primarily being caused by:

 

Their role as a carer

 

Debt and finances

 

Loneliness and isolation

 

Homelessness, housing or living situation

 

Drugs and alcohol

Salford

Age UK Salford

Age UK Salford’s ‘Hospital Aftercare and Reablement Support Service’ forms part of the discharge team at Salford Royal Hospital, providing support to people 55+ (and their carers) who have been or are ready to be discharged from hospital following treatment for up to 6 weeks. Service is available Monday to Friday. Aftercare trained staff arrange to visit the person at home in order to complete a more detailed assessment of their needs (home safety check and personal assessment), and offer practical information and support to help the patient recover and discuss any help they need.

0161 206 4607
[email protected]
www.ageuk.org.uk/salford/

The Aftercare service also offers short-term practical support such as:

 

Basic shop

 

Light household duties

 

Meal planning

 

Prescription collection

 

Arrange and accompany to appointments

 

Help with paying bills.

Salford Community and Voluntary Services

VCSE hospital ‘interface’ service. All patients worked with are identified through the Home First Medical Discharge Team Hub.

Brooke Taylor

0161 787 7795
07831 258 748
[email protected]
www.salfordcvs.co.uk

Service includes:

 

A social prescription service to help people leaving hospital

 

Works with groups within Salford to fill any gaps of provision which can help a patient’s discharge.

Gaddum

Gaddum is a charity offering advocacy, carer support and therapy services to Manchester residents.

0161 834 6069
[email protected]
www.gaddum.org.uk

Service includes:

 

Their role as a carer

 

Debt and finances

 

Loneliness and isolation

 

Homelessness, housing or living situation

 

Drugs and alcohol

Stockport

Age UK Stockport

Age UK Stockport operate a Hospital Discharge Service (HDS) based at Stepping Hill Hospital.

This service is operational 7 days per week.

0161 480 1211
[email protected]
www.ageuk.org.uk/stockport/

Service includes:

 

Supporting patients leaving hospital, or those recently discharged that require some additional support that sits outside of statutory criteria.

 

Works with local Stockport Residents across all the discharge pathways. Referrals are only received from within the Hospital.

Tameside

Age UK Tameside

The ‘Community Support Service’ provides advice and support for people 50+ who have been discharged from hospital, to help them remain independent and stay connected in their local community. The support provided by Age UK Tameside is person-centered to ensure that the help received is structured in the most beneficial way for the patient. There is no charge for this service.

0161 308 5000
[email protected]
www.ageuk.org.uk/tameside/

Service includes:

 

Advice and support

 

Community support

Tameside, Oldham and Glossop Mind

TOG Mind supports individuals to live well when they have been discharged from being admitted to hospital, been allocated to a secondary care service such as the Community Mental Health Team and the Home Treatment Team, or had to attend A&E due to their mental health within the last 6 months.

0161 330 9223
[email protected]
www.togmind.org/home

Service includes:

 

Mental health support

 

Practical and social support, such as housing, benefits, debt management, meal delivery services and wellbeing sessions.

Fit Over Fifty

The ‘Welcome Home’ service supports over 50s who have been discharged from hospital to improve their health and well-being and overcome isolation.

0754 805 7715
[email protected]
supportinlaterlife.org

Service includes:

 

Settling in support

 

Transport

 

Social gatherings

 

Exercise sessions

Trafford

African Caribbean Care Group

The African Caribbean Care Group (ACCG) provides culturally appropriate care and support to adults aged 50+ that allow them to live well at home. Service is available Monday to Friday 9:00-16:30h.

0161 226 6334
[email protected]
www.accg.org.uk

Service includes:

 

Telephone support

 

Hot meals delivery

 

Food parcels

 

Befriending

 

Support for carers

 

Welfare rights advice / Advocacy (benefits check, energy advice, housing, finance, legal)

 

Wheelchair adapted transport

 

Access to community centre (well-being activities, fitness sessions, lunch club, personal care & support, foodbank)

Wigan

Age UK Wigan

The ‘Wellbeing Home Help Service’* provides person-centred support to people aged 50 and above across Wigan Borough including those who have been discharged from hospital. An experienced and professional wellbeing home help team support building resilience and confidence with customers, so they can live independently at home and stay connected in their community.

0194 261 5885
[email protected]
https://www.ageuk.org.uk/wiganborough/our-services/

Service includes:

 

Companionship

 

General Housekeeping

 

Laundry

 

Shopping

 

Local Errands (Prescription Collection)

 

Help and Life Admin

* this is a paid-for service

Groundwork (Wigan)

01942 821 444
[email protected]
www.groundwork.org.uk/hubs/greatermanchester

Service providing a responsive and adaptable pathway for individuals who are:

 

1) Delayed from hospital discharge

 

2) receiving support from the Home Treatment, Crisis or Community-based team

 

A Resettlement Coach is working collaboratively through a multi-agency approach with health professionals, recovery teams, social workers, police, housing providers and frontline staff.

 

Personalised support is provided to the patient, which utilizes existing community assets and wraps community services around the individual.

 

The Resettlement Coach ensures that practical and emotional support is in place to avoid readmission and upon discharge via the in-reach service.

Driven

Driven is a Wigan based community transport service operating a fleet of accessible vehicles, including wheelchair accessible MPVs and an accessible 16 seat minibus. The service also manages a team of dedicated volunteers who use their own vehicles to help individuals to access day care, shopping trips and attend medical appointments. All drivers are DBS checked and undertake safeguarding training, Dementia training and Aspergers awareness.

0194 240 9602
[email protected]
https://wearedriven.co.uk/

Driven can provide:

 

Its own wheelchairs

 

Accompany passengers to appointments

 

Support at each end of the journey is also provided (e.g. checking homes are locked and secure before leaving, checking passengers have any letters, important documents or medication with them)

 

They will also check that patients are safe when they return home

 

Inform family of their safe return or even make them a brew before they leave.

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