Structured transition planning
Bring the next steps into focus: the person’s priorities, responsibilities across teams and what needs to be ready before care changes hands.
Hospital · Community · Home
Supporting older people through the moments when care changes hands.
WATTOLL brings health and care organisations together through structured transition planning, workforce development and practical support.

Why WATTOLL
For an older person, moving from hospital to home or community care can bring uncertainty about what happens next, who is responsible and where to turn for help.
WATTOLL is designed to help organisations work together around the person, reducing avoidable delay, anxiety and breakdown at points of transfer.
The person’s wellbeing is the thread that connects every stage of care.
The WATTOLL model
Planning, people and practical support work together. Each addresses a different part of the transition, with the older person at the centre.
Bring the next steps into focus: the person’s priorities, responsibilities across teams and what needs to be ready before care changes hands.
Help staff build shared understanding, confidence and practical skills for coordinating transitions across organisational boundaries.
Identify the everyday barriers that can disrupt a move, and work with partners to connect people and families with appropriate support.
Across the transition
Consider the older person’s goals, concerns and support needs alongside the requirements of the receiving team.
Make the plan, responsibilities and next points of contact clear to the person, family and teams involved.
Listen to experiences of the move and use that learning to strengthen coordination and support.
Our intended impact
Identify barriers earlier and improve clarity about who can help resolve them.
Help people and families understand the next stage of care.
Support continuity through shared planning and clearer communication.
Develop the skills and relationships needed to work across care settings.
These are the model’s intended benefits. Partnership pilots would test how WATTOLL works in practice and evaluate its impact with people, families and staff.
People behind the model
The WATTOLL Team
WATTOLL is a team effort, drawing on years of practical experience in transitional care, Discharge to Assess (D2A) and community therapy liaison.
Our approach brings together discharge planning, recovery support and coordination between hospital and community services, with a shared commitment to helping older people move safely and confidently into the next stage of care.
We put the person, their relationships and what matters to them at the centre of every transition.
SWANSIST Ltd t/a WATTOLLLet’s work together
We welcome conversations with NHS teams, community services, care providers, commissioners and social-impact partners interested in developing and evaluating WATTOLL.
Tell us where transitions become difficult and what you would like to improve.
Email the WATTOLL Teamwattolluk@outlook.comA few useful answers
Health and care organisations supporting older people moving between hospital, community and home. The model centres the experiences of older people and families while helping teams coordinate their work.
A starting conversation could identify a transition challenge, explore which parts of the model fit local needs, and agree the scope and evaluation of a potential pilot.
This website introduces the WATTOLL model and invites organisational partnerships. Direct care arrangements and service availability would need to be discussed and confirmed separately.