Intermediate Care Extension to Hospital To Home

Extending the functionality and value of the Digital Discharge to Assess solution to cover Intermediate Care.

MJ Awards - Hospital to Home


Hospital to Home (H2H) is the result of a collaboration by five councils to bring clarity, efficiency and order to the Discharge to Assess (D2A) process. H2H currently supports the D2A process from the point at which a patient is identified on the ward as requiring support on discharge, through to the point that the patient receives an assessment of their longer term needs. It allows all partners to have a ‘single source of the truth’ and is a ground breaking digital approach to this multi-partner challenge faced by health and case systems up and down the country.

We are now looking to bring together subject matter experts to co-design an extension to the existing platform – which was developed as part of the LGA’s Social Care Digital Innovation Accelerator 2020/21 – so that it also covers Immediate Care and the 4 associated pathways:

  • Reablement
  • Crisis Response
  • Home Based
  • Bed Based

 We are calling this extension of the H2H platform ‘Intermediate Care’.


Hospital to Home (H2H) is a case management and tracking solution, allowing users from multiple organisations to create, update and track D2A cases through an open, human driven workflow. The platform currently supports the D2A process from the point at which a person is identified on the ward as requiring support on discharge, through to the point that the person receives an assessment on their longer term needs within a community setting.

Hospital to Home was co-designed and co-funded by five councils (North Lincolnshire, Sutton, Southend, Herefordshire and Birmingham) with match funding from NHS Digital. 

A Hospital to Home case study can be found on the LGA website here. Details of the features and functionality of Hospital to Home can be found here.


During demonstrations of Hospital to Home, councils have expressed interest in extending the collaborative H2H platform to include those delivering intermediate care and the four associated pathways. By giving relevant professionals access to the ‘single source of truth’, it will extend the value already being realised by D2A partners, as well as extend improved management information and metrics to intermediate care. 

H2H already tracks a person from the discharge lounge to home and councils have suggested that it would make sense for all intermediate care partners – from dom care agencies, district nurses, to OT’s, assessors and managers – to have access to the same information, to ensure that they monitor planned care in the best way possible. Some local authorities work with over 20 care partners and information can, understandably, become disjointed. In addition there are various expected benefits around improved system planning, person-centred care, service delivery efficiencies, as well as clarity and ownership of next steps. 

It seems clear that the addition of Intermediate Care would go a long way to overcome some of the current challenges by using the same principles involved in Hospital to Home. These include being data light, easy to use, mobile friendly, offering solid management information and valuable potential around predictive reporting and scenario planning.



Local authorities involved in the co-design of Hospital To Home suggest that a digital system will save them between 30-50% in terms of administration, plus deliver mobile working, improved system wide resource planning and internal reporting benefits. Working with the original five councils involved in H2H’s co-design, we have built a H2H Benefits Calculator which creates bespoke business cases based on population numbers.

Extending the solution to cover intermediate care will significantly add to the business case and extend benefits and savings to care partners. As part of the collaboration, work will be progressed to unearth the extended business case.

More information on the Hospital to Home business case can be found here.


There is no additional cost to be involved in the Intermediate Care collaboration, however partners need to be signed up to at least a one year licence for Hospital to Home. 

Prices for H2H can be found here.


  • A kick off workshop will be held in Spring to outline the work involved
  • The technical partner will build the capability with monthly collaboration workshops requiring input from all partners during Spring/Summer 2022
  • Expected delivery date of Intermediate Care is late Summer/Autumn 2022
  • It is estimated that each collaborating partner will need to commit 4 hours a month to this project


Maldaba was chosen to build the Hospital to Home solution as part of the LGA’s Social Care Digital Innovation Accelerator 2020/21 following an open call to developers. Delivering a solution to the D2A challenge was critical in light of existing demands on health and social care, which have been exacerbated by the pandemic. Maldaba developed H2H in nine months, leading the co-design process to scope, design, develop and deliver the working solution to the five councils involved. 

Maldaba works with public sector bodies and not-for-profit organisations to deliver innovative solutions to complex problems. Since 2002, they have applied their expertise in strategic design, research and product development to deliver award-winning solutions, which are both scalable and offer measurable benefits in terms of digital transformation.


  • Find out more about Hospital to Home here
  • Watch videos from the initial co-designing councils as to how Hospital to Home was developed here
  • Read the LGA’s case study on Hospital to Home here


To join this project, for more information or if you’d just like a chat, please get in touch via the button below.