Accelerating Reform Fund
Updated: Jun 2

We are pleased to publish Worcestershire’s Accelerating Reform Fund Programmes Report and Recommendations Report, detailing the in-depth work in supporting Carers at Hospital Discharge.
The report highlights the impact of collaborative work across health, social care and voluntary sector partners to improve support for unpaid carers during and after hospital discharge. Funded through the Accelerating Reform Fund (ARF), the project focused on identifying carers earlier, strengthening communication between services, and ensuring carers receive timely information, advice and practical support to help them in their caring role. This report outlines the key achievements, learning and outcomes from the programme, alongside opportunities for future development to continue improving carers’ experiences across Worcestershire.
Summary Key findings:·
Carer identification remains inconsistent and significantly below expected levels.
Only 27% of the 67 carers felt their own needs were considered during discharge planning.
There is a clear disconnect between strategic policy and operational practice.
Carers are frequently perceived as barriers to discharge, rather than partners in care.
Small, targeted changes within pathways can have a positive system impact.
Carers experience significant health inequalities, financial strain, and increased caring intensity post-discharge.
Behind every discharge is a family adapting to change, often at pace.
Behind every hospital bed is a multidisciplinary team balancing flow, safety and quality. This programme has consistently highlighted that discharge sustainability is a shared responsibility – one that depends not only on clinical readiness, but also on carer capacity, confidence and resilience.
We welcome you to read the full report here:





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