Patient social and psychological support management — case assessment, intervention tracking and community referrals.
Structured social assessment tools identify housing, financial, family, safeguarding and psychosocial needs at admission — flagged to the clinical team and prioritised for intervention.
Each patient case is assigned to a social worker with a structured intervention plan; every contact, action and outcome is recorded in the case file — providing a complete audit trail and caseload visibility.
Family contact records, carer assessments and family meeting notes documented in the case file; coordination with nursing and medical teams for complex family situations managed through the shared HMS platform.
Referrals to external community agencies, social services, NGOs and home care providers created within the HMS — tracked through to confirmation and followed up automatically at defined intervals.
Financial assessment for patients unable to meet treatment costs; applications for hospital assistance funds, charity support and national assistance schemes tracked and linked to the patient billing record.
Social discharge plan developed in parallel with the clinical discharge plan — home care, transport, accommodation and community support arranged before the patient leaves, reducing avoidable readmissions.
Social determinants of health profoundly affect clinical outcomes, yet social work has traditionally operated from separate paper-based case files disconnected from the clinical record. The metaSOFT Social Worker Module changes this — social needs, interventions and community referrals are documented inside the HMS where the clinical team can see them and act on them.
When a physician flags a patient for social work review, the referral appears in the social worker's queue immediately. When a discharge social plan is complete, it is visible to the ward team coordinating the clinical discharge. The result is a hospital where social and clinical care are genuinely integrated — not siloed.
