"Discharges have been very poor"

Elderly relative has had recently had number of admissions to ward 22 and 20 monklands. Discharges have been very poor with support on discharge being inadequate. After difficult discussions have learned it's senior nurses/ discharges coordinators that do homecare assessments, albeit very poorly.

Conversations with facilitators have been confrontational, stressful and lack of empathy. Relative has got home on 3 occasions recently, assessments have been inaccurate and very quickly homecare manager has needed to increase care package.

Why is it a senior nurse and not hospital social work that does a homecare assessment. I think surely it is more cost effective and much more quality assessments to have a social worker/ social work assistant to do the "social care" assessment rather than the cost for a senior nurse who doesn't seem to have knowledge and understanding of social care.

Understand the process of integration but don't find the nurses on discharge to have any great understanding of a good, needs led, homecare package.