Hospital Discharge Risk Assessment for Vulnerable Adults
Patient Name
Date of Birth
Hospital Number
Admission Date
Diagnosis / Reason for Admission
Identified Vulnerabilities (e.g., cognitive impairment, mobility issues, social isolation)
Current Support Systems (family, carers, services)
Risk Factors for Discharge
Assessed Capacity to Consent to Discharge
Has full capacity
Lacks capacity
Needs further assessment
Discharge Plan (arrangements, referrals, follow-ups)
Professional Completing Assessment
Date of Assessment
Additional Notes