Researchers supported by the National Institute for Health and Care Research (NIHR) at The University of Manchester have developed a new tool, SAFER-Dem, to improve the discharge process for people living with Dementia transitioning from mental health hospitals to community care.

The study, published in BMJ Open, highlights how the SAFER-Dem care bundle can make hospital discharge safer, more structured and more patient-centred. The initiative builds on existing NHS patient safety frameworks and has been tailored specifically to address the unique challenges faced by dementia patients.

Patients with dementia often experience confusion, stress and lack of involvement when leaving hospital. Families and caregivers have reported issues such as poor communication, unclear treatment plans and overwhelming ward environments, which can hinder recovery and continuity of care.

To address these gaps, researchers collaborated with patients, caregivers and healthcare professionals to co-design a simplified checklist and guidance system. SAFER-Dem is an evolution of earlier frameworks, including the NHS SAFER patient flow bundle and SAFER Mental Health (SAFER-MH), with a stronger focus on clarity, inclusivity and usability for dementia patients.

According to lead researcher Dr Natasha Tyler, the tool was developed through workshops and interviews, allowing participants to test and refine early versions of the materials. The feedback indicated that SAFER-Dem could improve communication, encourage shared decision-making and make the discharge process more personalised.

Co-author Professor Maria Panagioti noted that improving the quality and consistency of discharge planning could enhance patient safety, reduce avoidable readmissions and support timely transitions from hospital to home. She emphasised that the tool is not just about faster discharges, but about delivering them more effectively.

While the tool shows strong potential, researchers noted that patients with more advanced stages of dementia may require additional support when using the materials. Further evaluation is planned to explore wider implementation across mental health services.