Intermediate care: guidance for commissioners and providers of health and social care

British Geriatrics Society
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This guidance sets out the British Geriatrics Society's position on intermediate care and the commissioning of service. The concept of intermediate care (I.C.) was first signalled in the National Beds Enquiry , became policy in the NHS Plan  and was implemented in England through the National Service Framework (NSF) for Older People . I.C. is conceived as a range of service models aimed at “care closer to home” and has involved the expansion and development of community health and social services. Some confusion has arisen because of varying definitions and terminology in respect of I.C. - both at local level and between UK counties. However, the two underpinning aims are, firstly, to provide a genuine alternative to hospital admission for some carefully selected patients and, secondly, to provide early supported discharges for others. Both aims require the provision of opportunities for further assessment and rehabilitation of older people. It is also expected that the increased availability of I.C. will prevent frail older people transferring to long-term care directly from an acute services.

Subject terms:
intermediate care, long term care, older people, rehabilitation, social care, social care provision, assessment, commissioning, health care;
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