Developing trusted assessment schemes: essential elements


This guide describes how local systems could implement trusted assessment to effectively and safely reduce the numbers and waiting times of people awaiting discharge from hospital.

Many people wait too long to be discharged from hospital resulting in poor experience of the health and care system and poorer outcomes. Trusted assessment is a key element of best practice in reducing delays to transfers of care of people between hospital and home.

By using trusted assessors we can reduce the numbers and waiting times of people awaiting discharge from hospital and help them to move from hospital back home or to another setting speedily, effectively and safely.

This guide describes how hospitals, primary and community care and local councils could work together to deliver trusted assessment as a key part of the High Impact Change Model (HICM). Implementation of the HICM is a national condition for funding through the 2017-19 Integration and Better Care Fund policy framework.    

The guide is from a series of resources we're developing with partners, to help you rapidly meet expectations on urgent and emergency care as set out in the NHS Five Year Forward View Next Steps document. 

It was developed across NHS England, NHS Improvement, the Local Government Association, the Association of Directors of Adult Social Services, the Care Provider Alliance and the Department of Health to increase the care and health system engagement with this important guidance, and also complements the Rapid improvement guide: trusted assessors.


We ran webinars to support local systems implement trusted assessment models. These covered:

  • why trusted assessors are required

  • what they do

  • where they can be used

  • available guidance and resources

  • how to establish a trusted assessor model of your own

  • good practice examples 

Trusted assessment frequently asked questions PDF, 392.6 KB

This document answers your questions on the trusted assessment following our series of webinars.

Related content


Sign in or register to subscribe to notifications

    • nhsi
    • 13 Jul '17

    resource was opened for discussion.

Is there anything wrong with this page?

Help us improve this website

Do not include any personal, sensitive or confidential information.