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Ready to go?: planning the discharge and transfer of patients from hospital and intermediate care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 32p.
- Place of publication:
- London
This practical resource was developed to help health and social care practitioners working in acute and community hospitals and intermediate care services to improve their own discharge and transfer processes and practices. Discharge or care transfer is an essential part of care management and ensures that health and social care systems are proactive in supporting individuals and their families and carers. It also ensures that systems are using resources efficiently. Timely discharge and care transfer requires clinicians and others to plan, communicate, negotiate and ensure a smooth transition for individuals and their families. Underpinning this is the need for: effective communication with individuals and across settings; alignment of services to ensure continuity of care; efficient systems and processes to support discharge and care transfer; clear clinical management plans; early identification of discharge or transfer date; identified named lead co-ordinator; organisational review and audit; and seven-day-a-week proactive discharge planning. Ten steps set out the essential processes in discharge and transfer planning and are supported by 10 operating principles. The key messages are: check it out, ask the patient and make it happen. Further supportive materials and examples of good practice are available from the linked website.
Local authority circular on the Personal Care at Home Act 2010 and charging for re-ablement
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 6p.
- Place of publication:
- London
This circular advises councils of the legal position on charging for re-ablement, the development of re-ablement services with the £70m allocation via the NHS in 2010/11 in support of post hospital discharge, and confirms that the Personal Care at Home Act will not be implemented. This circular cancels LAC(2010)1 with effect from 1 October 2011, and LASSL(2010)1 with immediate effect.
Intermediate care: halfway home: updated guidance for the NHS and local authorities
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 57p., bibliog.
- Place of publication:
- London
This document updates initial government guidance on intermediate care which was published in 2001. It aims to provide clarification of intermediate care and how it should work in relation to other local services. It builds on the existing guidance and also includes information on: the Inclusion of adults of all ages; renewed emphasis on those at risk of admission to residential care; inclusion of people with dementia or mental health needs; flexibility over the length of the time-limited period; integration with mainstream health and social care; timely access to specialist support as needed; joint commissioning of a wide range of integrated services to fulfil the intermediate care function, including social care re-ablement; and governance of the quality and performance of services. The guidance is aimed at commissioners but will be of interest to practitioners, providers, service users and their carers. Contents include: definition of intermediate care; users of intermediate care; why intermediate care is important; providers of intermediate care; types of intermediate care provision; what intermediate care should look like; what intermediate care should achieve; developing intermediate care. Annex 1 contains a summary of research evidence. Annex 2 is a number of practice illustrations of intermediate care in: Tameside and Glossop; Bolton; Bristol; South Gloucestershire; Lewisham; Cumbria. Annex 3 gives illustrative practice examples for mental health and dementia care in: Leeds; Hunter's Lodge, Leicestershire; Huntingdonshire; Avon and Wiltshire Mental Health Trust; Central Lancashire PCT. Annex 4 is an illustration of a service model for a system with a single point of entry, identifying key points at which decisions have to be made.
Changes to local authorities charging regime for community equipment and intermediate care services
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- London
This guidance explains the changes to local authority social services departments' charging regime for intermediate care and community equipment services resulting from the Community Care (Delayed Discharges etc) Act 2003, with effect from 9 June 2003. The regulations making these changes are attached with this guidance. Authorities providing Intermediate Care and Community Equipment Services are asked to ensure that they comply with the Act.
Community equipment services
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 4p.
- Place of publication:
- London
Guidance concerning community equipment for adults and children. Sets out action that should be taken to improve provision by the development of integrated local authority and NHS equipment services, particularly in conjunction with the intermediate care initiative.
Intermediate care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 13p.
- Place of publication:
- London
Sets out guidance on the development of new intermediate care services to be commissioned by the NHS and councils.
Transforming community services: ambition, action, achievement: transforming rehabilitation services
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 36p.
- Place of publication:
- London
One of a series of six transforming community service best practice guides for frontline staff and their leaders which aim to help to deliver High Quality Care for all: the Next Sate Review. Each guide has a similar framework, clearly setting out ambitions, taking action to deliver, using best available evidence and demonstrating and measuring achievement. The guides highlight what is considered to be good practice across community services. This guide covers the delivery of rehabilitation services - including long and short term support for older people and helping adults returning to work after illness. To be read in conjunction with the quality framework/quality indicators.
Supporting people with long term conditions: an NHS and social care model to support local innovation and integration
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 43p.
- Place of publication:
- London
The NHS and Social Care Long Term Conditions Model will help ensure health and social care organisations take an overall structured and systematic approach to improving the care of those with long term conditions. Health and social care organisations should take action now to ensure that the model is implemented.They should deliver the Public Service Agreement target and have a significant impact on the way the health system works action needs to start now. The immediate focus should be the introduction of case management for the most vulnerable people with complex long term conditions. Significant numbers of hospital admissions relate to long term conditions and can be avoided.
Changing places: report on the work of the Health and Social Care Change Agent Team 2002/03
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2003
- Pagination:
- 36p.
- Place of publication:
- London
This is the first annual report on the work of the Health and Social Care Change Agent Team (CAT). ‘Delayed discharges’ are people, quite often frail and vulnerable older people whose future care is uncertain. An acute hospital is not a good place to be whilst waiting for care arrangements to be made. Hospitals make people more dependent and there is an increased risk of acquiring an infection. While older, vulnerable people are away from home, their care networks may break down and the longer the time spent away from home, the more difficult it is to set these up again. Sometimes, had the right services been in place in the community, the person need not have gone into hospital in the first place. If people are waiting in hospital beds, other people’s admissions for planned surgery such as a hip replacement may be delayed. About 60% of all people in acute hospitals are over 65 years, so many of the people waiting to come into hospital are likely to be older people. The more medically fit people waiting in hospital beds, the fewer beds are available for emergency admissions, leading to longer waits on trolleys in the Accident & Emergency department (A&E) or the Medical Assessment Unit (MAU).
National service framework for older people: a report of progress and future challenges, 2003
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2003
- Pagination:
- 40p.
- Place of publication:
- London
The number of people aged over 65 has doubled in the last 70 years. Older people are living more active lives, spending more money and demanding more from services. The National Service Framework for Older People, launched two years ago, is an essential component of The NHS Plan. It set, for the first time, national standards for better, fairer and more integrated health and social care services for older people. The purpose of this report is to highlight the progress made by the NHS and social care with support from the Department of Health in these past two years.