Tech in Care - Person Centred Technology

Simply, Safely, Securely



Tech in Care offers case management and tracking functionality, allowing users from multiple organisations to create, update and track Discharge to Assess (D2A) cases through an open, human driven workflow. The platform supports the D2A process from when a person is identified on the ward as requiring support on discharge, to the point that the person receives an assessment on their longer term needs within a community setting.

The service joins-up the work between acute trusts and social care for people being discharged, in a manner that simply is not currently otherwise possible. All stakeholders are able to securely log-in from anywhere, and see/update patient information in real time. Tech in Care offers management reporting that would otherwise take us hours of wrangling data, to understand D2A pathway performance.


Single Version of the Truth

Single version of real-time information on all live discharge to assess patients with different permissions and data-views dependent on user requirements and their authenticated access settings

Improved Safeguarding

Clear, comprehensive knowledge on all Pathway 1,2,3 and End of Life patients, ensuring the highest standard of safeguarding can be applied to their transition from hospital to home or care setting

Cyber Security

A cloud-based case management and tracking system that has undergone extensive penetration testing organised by the Yorkshire & Humber WARP. It also benefits from being hosted in the Catalyst2 cloud and all the cyber security that provides

Mobile Working Options

Tech in Care has been designed ‘mobile-first’ and is available for D2A practitioners to use on mobile devices, tablets and desktops with equal ease

Integration Options

Tech in Care has been built with integration in mind and is actively developing open/supported API’s to enable appropriate integration with both acute and social care systems

Comprehensive Reporting

Absolute clarity is given on what happened to each patient, when and what action or update was taken for reporting and audit purposes. Clear dashboards also give an overview of patient numbers at each stage of the D2A process, as well as any red flags

Clear Communication

The case management and tracking functions of the Tech in Care system ensures each D2A partner knows where patients are, the next steps required and who ‘owns’ the D2A at any one point in time

Email/SMS Notifications

Tech in Care automatically sends out both emails and SMS to the duty email/phone number for the Teams who are associated with that discharge, ensuring that resources are appropriately allocated

Multi Factor Authentication

Users accessing the system are required to use Multi Factor Authentication. The requirement applies to the user account and to their device. The system has been designed to ensure MFA works even in contexts where there is no mobile phone signal

Information Governance Compliance

A clear IG outline to ensure the safe sharing of personal data between the D2A organisations, as well as a standard Information Sharing Agreement to put in place with the technical provider

Improved Resource Planning

Tech in Care gives a view of all Estimated Discharge Dates over the next 7 days, as such D2A professionals are able to better plan and deploy resources – such as domiciliary care and transport – as required


Timely Discharge

With one tracking system, breakdowns in communication around transport providers, family members and/or domiciliary care provision are removed – it is clear who is in the Discharge Lounge and what needs to be done next

Improved Patient Experience

The safe and timely discharge of patients is at the heart of both the D2A process and the H2H system

Financial Savings

Administrative savings of anywhere between 30-50% have been recognised by implementing Tech in Care, plus acute savings on bed nights, mobile working, reporting and audit savings

Released Acute Bed Nights

With clarity in terms of who is in the Discharge Lounge and upcoming Estimated Discharge Dates (EDDs), it is estimated that at least one hospital bed night per every two D2As can be saved at a saving of £400 per night

Improved Capacity in System

Time is freed up to undertake more valuable, strategic work. From a hospital perspective ensuring timely discharge will lead to hospital beds being freed up more quickly

Improved Speed of Discharge

By being able to track patients at every step of the D2A process, supported by system alerts and real-time dashboards, each D2A pathway can be progressed in a timely fashion with clarity and confidence

Improved Patient Communication

Communication with patients and families is currently often complicated, unclear and disjointed, with a clear understanding of where the patient is in the D2A process, clarity can be brought to these conversations and complaints reduced


The challenge of safely discharging people from hospital is a national issue reliant on gathering and continually sharing/updating information from separate, unconnected systems. It requires a multi-agency approach involving hospitals (ward staff, doctors, discharge teams, pharmacy services et al), CCGs, adult social care teams, local authorities, transport providers, domiciliary care providers and others.

The updated Discharge to Assess (D2A) model was introduced in March 2020 in order to simplify and speed up hospital discharges in light of Covid-19. Since its introduction D2A teams across the country have been using all means possible – heavily relying on spreadsheets, email and the telephone – to support the safe discharge of patients.

D2A was a clear candidate for the SCDIA after numerous councils cited it as a challenge that desperately needed a digital approach. Starting in August 2020, five councils co-funded and co-designed a solution as part of the Social Care Digital Innovation Accelerator 2020/21 (SCDIA), which was run by CC2i on behalf of the Local Government Association, and which benefited from NHS Digital match-funding. 

Subject matter experts from North Lincolnshire, Southend, Sutton, Herefordshire & Birmingham began by detailing their D2A challenges and then for the next six months were guided by the technical partner – Maldaba – who scoped, designed and developed a solution that met their varied – and quite complicated – requirements.