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IntermediateBEHAVIORAL
Tell me about a time you led a community-based rehabilitation initiative from within a hospital service (e.g., early supported discharge, falls prevention, or chronic disease management). How did you set objectives, coordinate with the multidisciplinary team, and measure outcomes for both patients and the service?
Senior community physiotherapist hospital
General

Sample Answer

In my last role I led a hospital-based early supported discharge pathway for frail older adults with falls. We were seeing 7–10 day stays for patients who were actually safe to go home sooner with the right community support. I pulled 6 months of data and agreed clear objectives with the geriatric consultant and matron: reduce length of stay by 2 days, cut 30‑day readmissions by 10%, and increase patients returning to their usual residence to 85%. I set up a weekly MDT huddle with OT, geriatricians, nurses, social workers and the community rehab team, and created a simple red–amber–green dashboard for mobility, cognition and home support. We piloted with 30 patients, using standardised measures (TUG, Barthel, FES‑I) at discharge and 6 weeks. Within 4 months, average length of stay dropped by 2.3 days, readmissions reduced by 14%, and 88% returned home. We also freed up roughly 10 bed days per month, which the service manager tracked as a key operational win.

Keywords

Data-driven objectives for length of stay, readmissions and discharge destinationRegular MDT coordination with clear roles and communication structureUse of standardised outcome measures for patients (TUG, Barthel, FES-I)Service-level impact: reduced bed days and improved patient flow
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