Pathways: Reading, Writing, and Critical Thinking 3

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for each person selected for criteria-led discharge, document clear clinical criteria for safe discharge that can be enacted by an appropriate junior doctor, nurse or allied health professional without further consultant review. These may be used alongside the clinical criteria to reside in acute hospitals From the outset people should be asked who they wish to be involved and/or informed in discussions and decisions about their hospital discharge, and appropriate consent received. This may include a person’s family members (including their next of kin), friends or neighbours, some of whom would be considered unpaid carers. Paid care workers and personal assistants may also be included. The person or people identified at this stage, including any unpaid carers, may be wider than a person’s next of kin. A person who does not have family or friends to help, or who may find it difficult to understand, communicate or speak up, should be informed of their right to an independent advocate. work with unpaid carers, providing them with support and undertaking a carer’s assessment where needed. Children who are young carers should be referred for young carers needs assessments or young carers support services as appropriate an adult social care presence in the acute trust should be reduced, but ASC staff will still need to work closely with acute colleagues and some presence will be required. An ASC presence in community hospitals should be agreed to support recovery as part of MDT working. ASC staff input into transfer of care hubs should be over 7 days

SCC have a history in investing in reablement services, and their main pooled funding arrangement is via the BCF. They have multiple place-based reablement teams, and demand is managed across footprints that are coterminous with their NHS commissioning bodies. They have increased capacity in these reablement services by setting them up in partnership with home care providers. Staff operate the same way regardless of who employs them, so the difference in providers is not felt by the individual. Where discharge to assess is implemented after a sufficient period of recovery, where it appears a person may need support on a long-term basis, liaise with appropriate professionals to ensure timely assessment for example, a Care Act (2014) assessment, and/or NHS Continuing Health Care assessment. Case managers would not usually carry out these assessments. Transfer of care hub action card appropriately refer qualifying individuals to independent advocacy services on admission, so their voice is heard during the discharge planning processPathway 6 is for applicants who do not meet the eligibility requirements for Pathway 1, 2, 3, 4, or 5. To meet the requirements for Pathway 6, the applicant’s clinical skills must be evaluated by licensed physicians using ECFMG’s Mini-Clinical Evaluation Exercise (Mini-CEX) for Pathway 6. Entry clearance for the UK will only be granted after your biometrics, normally your facial image and fingerprints, have been enrolled at a Visa Application Centre (VAC). Relocating to the UK may take some time, and will depend on your ability to travel to a third country to provide biometrics.

IMGs who have a passing performance on USMLE Step 2 Clinical Skills (CS) that is valid for ECFMG Certification (even if they previously failed Step 2 CS), Updated in line with the new approach to accommodation, announced on 28 March. Updated information about the 3 referral pathways. Multi-disciplinary hospital discharge teams and transfer of care hubs (see further below), comprising professionals from all relevant services across sectors (such as health, social care, housing and the voluntary sector), should work together so that, other than in exceptional circumstances, no one should transfer permanently into a care home for the first time directly following an acute hospital admission. Everyone should have the opportunity to recover and rehabilitate at home (wherever possible) before their long-term health and care needs and options are assessed and agreed.

Teacher Resources / Reading and Writing / Foundations

Important Note: Obtaining a satisfactory score on OET Medicine is only one of the requirements for completing a Pathway. Applicants also must submit an on-line application for the appropriate Pathway. See Applying to the Pathways below. Ensure that all required documentation in support of your Pathways application is received by ECFMG. See the detailed instructions for the Pathway to which you are applying for complete information on required documentation and deadlines. It is your responsibility to ensure that ECFMG receives all required documentation.

This guidance is based on the experiences of individuals, unpaid carers and organisations with health and care experience, as well as input from leaders of NHS and local government services. In particular, we are grateful for the contributions of Carers UK, the Carers Trust, Healthwatch England, the Local Government Association, the British Association of Social Workers, and the Principal Social Workers Network for their support in developing this guidance. The full list of organisations who have contributed to this guidance is in Annex A below. How NHS and local authorities can work together to plan and implement hospital discharge, recovery and reablement in the community you are likely to need to work more flexibly to support the new requirements. Cover will continue to be required 7 days a week From 1 April 2022, local areas [footnote 1] should adopt discharge processes that best meet the needs of the local population. This could include the ‘discharge to assess, home first’ approach. Systems should work together across health and social care to jointly plan, commission, and deliver discharge services that are affordable within existing budgets available to NHS commissioners and local authorities, pooling resources where appropriate. Where local areas agree to fund a period of care (pending a long-term needs assessment being carried out), agreements should be in place to ensure no one is left without care or – if needed – an assessment of long-term needs prior to the end of this period. This should also ensure that no carers are left without adequate support or an assessment of their longer-term needs (if needed) at the end of this period.

Student Resources

supports safe discharges through close working with the acute wards, quality assurance of information and practical support, including early identification of people who may become ready for discharge Working with partners – working with partners earlier rather than later will make for more credible implementation: If you are referred for resettlement under the ACRS and are offered a place on the Scheme, you will: for discharges to care homes, ensure the results of COVID-19 testing within 48 hours prior to discharge are shared with individuals themselves, their family members or carers and relevant care providers in advance of discharge if following the discharge to assess model, prompt assessments of short-term recovery care and support needs (and after a period of recovery, assessments of long-term or ongoing care and support needs) should take place after discharge in non-acute settings (mainly in people’s homes)