Admission to Hospital and Discharged Home Policy Suite (CQC Regulation 12 | NICE NG27 | Medication Reconciliation | SBAR | 12 Operational Forms)

Complete CQC-compliant Admission to Hospital and Discharged Home documentation suite, built by a practising Registered Manager operating a CQC Good-rated community care service with ISO 9001 and ISO 45001 certification.

What's included — 4 documents, 12 forms

✔ Policy Template (ADH1) — comprehensive clinical transitions policy covering planned and emergency admissions, SBAR clinical handover protocol (Situation, Background, Assessment, Recommendation), daily hospital contact monitoring, discharge planning with pre-discharge readiness criteria, medication reconciliation on discharge aligned to NICE NG27 and NICE QS136, post-discharge care plan review within 48 hours, Hospital Passport for pre-admission communication to clinical teams, home preparation protocol, post-discharge risk reassessment, staff competency framework, 6-monthly governance audit cycle, and Quality Improvement Action Plan tracking. Fully white-label and editable. Version 3.0.

✔ Excel Forms Workbook (ADH2) — 12 operational forms across 13 tabs (1 Contents index + 12 forms), each in a dedicated worksheet, cross-referenced within the policy body:

1. Hospital Admission Notification (Form ADH1) — same-day SBAR notification for all planned and emergency admissions
2. Admission Transfer Checklist (Form ADH2) — pre-admission information transfer to hospital clinical team
3. Daily Hospital Contact Log (Form ADH3) — ongoing clinical condition tracking during inpatient stay
4. Discharge Planning Checklist (Form ADH4) — pre-discharge readiness assessment against NICE QS136 criteria
5. Post-Discharge Care Plan Review (Form ADH5) — within 48 hours of discharge, full care plan reassessment
6. Medication Reconciliation on Discharge (Form ADH6) — NICE NG27 compliant medication review identifying changes, new prescriptions, discontinuations, and dosage adjustments
7. Hospital Passport Pre-Admission (Form ADH7) — a communication tool summarising the service user's baseline, preferences, and clinical history for hospital staff
8. Home Preparation Record (Form ADH8) — pre-return home audit covering environment, equipment, and support arrangements
9. Risk Assessment Update Post-Discharge (Form ADH9) — falls, pressure ulcer, nutrition, cognitive, and safeguarding reassessment following clinical change
10. Staff Admission/Discharge Competency (Form ADH10) — practical competency framework covering SBAR, medication reconciliation, and clinical deterioration recognition
11. 6-Monthly Admission/Discharge Compliance Audit (Form ADH11) — RAG-scored audit covering every operational element from admission notification through post-discharge review
12. Quality Improvement Action Plan (Form ADH12) — structured QIAP framework for all amber and red findings with sustainability review

✔ Individual Word Forms (ADH3) — all 12 forms above as standalone, print-ready Word documents in fill-in format. Each form is self-contained with instructions and clearly labelled for day-one deployment.

✔ Master Implementation Checklist (ADH5) — comprehensive 34-item implementation checklist across Setup, Clinical Procedures, Training, and Governance phases. RAG-rated priority coding throughout (MUST / SHOULD / GOOD PRACTICE). Designed to be completed before going live and retained as CQC inspection evidence.

Regulatory coverage

• CQC Regulation 9 — Person-centred care (individualised discharge planning, Hospital Passport, service user involvement in transitions of care)
• CQC Regulation 12 — Safe care and treatment (medication reconciliation, post-discharge risk assessment, clinical deterioration recognition) — primary regulation for life-safety critical transitions
• CQC Regulation 17 — Good governance (6-monthly audit cycle, quarterly governance reporting, 3-year retention, QIAP tracking)
• NICE Guideline NG27 — Transition between inpatient hospital settings and community or care home settings for adults with social care needs
• NICE Quality Standard QS136 — Transition between inpatient mental health settings and community or care home settings
• NHS Discharge Operating Model — Home First and Discharge to Assess pathways, hospital discharge service standards
• Care Act 2014 — Continuity of care on discharge, safeguarding under Section 42, carer assessment, information sharing duties
• Mental Capacity Act 2005 and MCA Code of Practice — Capacity assessment for discharge decisions, best interests determination where capacity is impaired, Lasting Power of Attorney recognition
• NHS Patient Safety Incident Response Framework (PSIRF) — Incident learning from admission and discharge failures, root cause analysis, systemic improvement
• CQC Single Assessment Framework — aligned to Safe (S1 Learning culture, S4 Medicines optimisation, S6 Safe and effective staffing), Effective (E3 How staff work together), Responsive (R1 Person-centred care), and Well-Led (W5 Governance, management and sustainability) quality statements
• UK GDPR and Data Protection Act 2018 — Clinical data sharing with hospital teams, consent to share, special category data handling

For all community services

Domiciliary care · Live-in care · Extra care housing · Supported living · Outreach · Day services · Reablement

Buy once — yours permanently

£84.99 one-time purchase. No subscription required. No renewal fees. Purchase once and deploy across your organisation.

Licence scope

This suite is licensed for use by the purchasing legal entity and any subsidiary undertakings registered under the same parent company at Companies House. The suite may be white-labelled with your organisational branding, customised to reflect your operational context, and deployed across your registered service types. The suite may not be resold, sublicensed, published to third-party platforms, or shared with providers outside your organisational group.

Why this suite

• Written by a practising Registered Manager operating a CQC Good-rated community care service with ISO 9001 and ISO 45001 certification
• Hospital-to-community transitions are life-safety critical — medication errors on discharge are a leading cause of patient harm, readmission, and death. NICE NG27 estimates that up to 60% of patients experience at least one medication error at the hospital-community interface. This suite provides the complete evidence trail for CQC Regulation 12 compliance
• SBAR clinical handover protocol (Situation, Background, Assessment, Recommendation) embedded across Forms ADH1 through ADH3 — the internationally recognised standard for clinical communication at transitions of care, reducing communication-related adverse events
• Medication Reconciliation on Discharge (Form ADH6) — NICE NG27 compliant framework identifying medication changes, new prescriptions, discontinuations, and dosage adjustments at the point of discharge, with explicit sign-off accountability
• Hospital Passport Pre-Admission (Form ADH7) — communication tool summarising service user baseline, preferences, clinical history, and communication needs for hospital staff, aligned to the NHS England Hospital Passport initiative and NICE QS136 for service users with learning disabilities or dementia
• Post-Discharge Care Plan Review within 48 hours (Form ADH5) — systematic reassessment of risk, needs, goals, and support following clinical change, reducing readmission risk and detecting early deterioration
• Risk Assessment Update Post-Discharge (Form ADH9) — falls risk, pressure ulcer risk, nutrition and hydration, cognitive status, and safeguarding reassessment following every hospital stay, operationalising CQC Regulation 12 safe care and treatment
• 6-Monthly Admission/Discharge Compliance Audit (Form ADH11) — RAG-scored audit covering every operational element from admission notification through post-discharge review, feeding quarterly governance reporting under CQC Regulation 17
• Quality Improvement Action Plan (Form ADH12) — structured QIAP framework for all amber and red findings with 1-month, 3-month, and 6-month sustainability review checkpoints
• RAG-coded 34-item implementation checklist — priority MUST, SHOULD, and GOOD PRACTICE items so you know exactly what is mandatory for CQC compliance and what is quality enhancement
• NHS Discharge Operating Model aligned — Home First and Discharge to Assess pathway integration for community providers working with integrated care systems

File formats: 3 × Word (.docx) · 1 × Excel (.xlsx)

Delivered by: Care Franchising Compliance, a trading style of Care Franchising Limited (registered in England and Wales, Company No. 16271445).