Pathways: Reading, Writing, and Critical Thinking 3

Product Information

Senior level support from NHS providers and local authorities should provide strategic leadership and oversight of the discharge process to monitor and eliminate the causes of unnecessary discharge delays, and ensure that the agreed hospital discharge procedures are being followed consistently. Updated in line with the new approach to accommodation, announced on 28 March. Updated information about the 3 referral pathways. To ensure hospital discharge processes are effective, NHS bodies and local authorities should also ensure local recovery, rehabilitation and reablement services are commissioned effectively and sustainably, and meet the needs of their local population in the short and long term that are affordable within existing budgets available to NHS commissioners and local authorities. This may be provided as part of intermediate care services, and should be done in collaboration with relevant organisations, including the voluntary and community sector and care providers. This Pathway is for applicants who do not meet the eligibility requirements for Pathway 1, but who attend or have graduated from a medical school that administers an OSCE specifically required for medical licensure by the medical regulatory authority (MRA) in that country. The medical school must meet certain ECFMG requirements and the applicant must have successfully completed the OSCE.

Health and social care providers must meet the requirements set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. 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. Where discharge to assess is implemented, the transfer of care hub should decide which pathway (1, 2 or 3) is the best for the person and assign the case manager. you may be required to provide outreach support to a person in the community – the transfer of care hub should direct the process The UK government will only arrange travel to the UK for eligible people when suitable accommodation has been organised.

Updated to reflect that there is no longer a 1,500 place allocation for the first stage of Pathway 3. All people who no longer meet the clinical criteria to reside for inpatient care in acute hospitals should be discharged home or to a non-acute setting as soon as it is possible and safe to do so. What you need to do

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.

you should consider what reshaping of the market is necessary to support a home first approach and prevention and early intervention to enable people to live independently at home for longer. Any market reshaping should be sustainable If you are referred for resettlement under Pathway 3 of the ACRS, you will be able to bring certain family members with you to the UK. They are: Under the Discharge to assess, home first approach to hospital discharge, the vast majority of people are expected to go home (to their usual place of residence) following discharge. The discharge to assess model is built on evidence that the most effective way to support people is to ensure they are discharged safely when they are clinically ready, with timely and appropriate recovery support if needed. An assessment of longer-term or end of life care needs should take place once they have reached a point of recovery, where it is possible to make an accurate assessment of their longer-term needs. It is critical that general practice and other primary care providers are directly linked into all discharge planning to ensure that health recovery support is available to the individual throughout their care journey.

It outlines how your role helps to implement best practice outlined in the hospital discharge and community support guidance. homeless people and people at risk of homelessness should be referred to the local authority. Mental health clinicians should be consulted for people with mental health need supporting people to manage their own recovery by identifying and activating their knowledge, skills and confidenceassess people for discharge against the clinical criteria to reside for inpatient care in community beds The principles in this guidance should form the foundation for local planning of arrangements for discharge from acute hospitals and community rehabilitation units. This can best be achieved by providing choice for individuals, who should be supported to make fully informed decisions, with input from their wider family or unpaid carers (where appropriate, and where the individual consents) or their independent advocate. This process should be person-centred, strengths based, and driven by choice, dignity and respect. implement mechanisms to plan, deliver and monitor the effectiveness of local discharge and recovery or rehabilitation arrangements

People with ongoing mental health needs, a learning disability, dementia, those in the last few months of life, and a range of other factors and conditions may require specialised support in the community to ensure their needs continue to be met. Children and young people facing the loss of a family member, and anyone facing the loss of a loved one due to suicide, should be informed about how they can access specialist bereavement support. The needs of homeless people will also need to be considered (see section 14 below). Local commissioning plans should include the provision of specialised support that meets the local population’s needs. Structure, roles and responsibilities 4. Local areas should develop a discharge infrastructure that supports safe and timely discharge to the right place and with the right treatment, care and support for individuals you are likely to need to work more flexibly to support the new requirements. Cover will continue to be required 7 days a week where discharge to assess is implemented, conduct Care Act (2014) assessments of long-term or ongoing social care needs and funding eligibility after discharge, in non-acute settings, and at the end of the recovery period, if required Applicants who are eligible to pursue ECFMG Certification based on one of the Pathways include those who: understand the quality, cost and effectiveness of local treatment, care, and support to inform people of their options

Teacher Resources / Reading and Writing / Level 3

the multi-disciplinary team should clearly describe the function and needs of people ready for discharge - they should not prescribe the exact post-discharge care and support needed Under Pathway 1, some of those already evacuated, including women’s rights activists, journalists, and prosecutors, and Afghan family members of British nationals have now been resettled under this pathway. Those eligible who were called forward during the evacuation but not able to board flights can also be resettled through Pathway 1. the multi-disciplinary team ( MDT) should clearly describe the function and needs of people ready for discharge, for example, where someone would need help for daily activities such as preparing meals. They should not prescribe the exact post-discharge care and support needed In exceptional circumstances, we may consider some additional family members for resettlement. Find out more about additional family members under Pathway 3 of the ACRS. For the purposes of Pathway 3 of the ACRS a GardaWorld contractor is someone employed by GardaWorld on host country terms and conditions, for a period of 3 months or more after 1 July 2020, exclusively to support the British Embassy Kabul contract. GardaWorld contractor includes someone whose contract was terminated during or after March 2021 due to the reduction in the requirement for guarding the British Embassy in Kabul, and someone who, while engaged as part of the GardaWorld Regional Management Team, provided dedicated and material support to the British Embassy Kabul contract. Chevening Alumni