Search results for ‘Subject term:"intermediate care"’ Sort:
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Intermediate care: developing capacity in step up and step down beds
- Author:
- JOINT IMPROVEMENT TEAM
- Publisher:
- Joint Improvement Team
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- Edinburgh
Reports the results of a short online survey designed to provide a 'snapshot' of step up and step down beds as part of intermediate care activity in Scotland at August 2014. Step up beds are defined as those were people are admitted from home as an alternative to acute hospital admission and as step down beds as a transfer from acute hospital for people who require additional time and rehabilitation to recover but are unable to have this provided at home. The survey aimed to: describe the range of step up and step down services provided; explore perceived barriers and solutions for scaling up this care; identify themes for improvement support; and signpost to examples of good practice. A total of 31 health and care partnerships responded to the survey, with 26 currently providing or commissioning step up or step down beds. Locations of bed provision include independent and council care homes, housing with care and community hospitals. Survey results also briefly report on how services are evaluated, multidisciplinary support provided and use of technology. Annexes include definitions of terms used and a list of key principles that underpin intermediate care. (Edited publisher abstract)
Tool to support nursing leaders making decisions about bed-based intermediate care
- Author:
- ROYAL COLLEGE OF NURSING SCOTLAND
- Publisher:
- Royal College of Nursing Scotland
- Publication year:
- 2017
- Pagination:
- 22
- Place of publication:
- Edinburgh
This tool sets out what nursing leaders should consider when making decisions about bed-based intermediate care, a model of care to help people to avoid hospital or get home sooner. The tool presents a series of questions across eight themes that represent what needs to be in place for high quality, bed-based intermediate care. The themes include that the bed-based intermediate care service: has a defined scope and purpose; is accessible and well-signposted for service users and health and social care staff; is based on a single, holistic assessment process and identification of an individual's goals and personal outcomes; admission and discharge criteria are clear; its contribution within the broader health and social care system is clear; there is an appropriate staffing and skill mix; and that it is designed to support reablement. Although the tool takes a nursing perspective, it may also be useful to other professionals involved in planning and delivering intermediate care, such as allied health professionals, medical staff, social workers and social care staff. (Edited publisher abstract)
Home first: ten actions to transform discharge
- Author:
- JOINT IMPROVEMENT TEAM
- Publisher:
- Joint Improvement Team
- Publication year:
- 2014
- Pagination:
- 23
- Place of publication:
- Edinburgh
Describes ten actions to achieving safe, timely and person centred discharge from hospital to home. For each action links to tools and resources that can support improvement are provided. The ten actions are: use data to know how you are doing; scale up coordinated and anticipatory care; develop intermediate care; screen and assess for frailty; integrate discharge planning; build capacity for care and support at home; assertive management of risk; support people moving on to long term care; understand adults with incapacity issues; and joint commissioning and resourcing. (Edited publisher abstract)
Maximising recovery, promoting independence: an intermediate care framework for Scotland
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2014
- Pagination:
- 55
- Place of publication:
- Edinburgh
The document provides a framework for local health and social care partnerships to review and further develop intermediate care within their area. The intermediate care approach involves a collection of services working to common, shared objectives and principles. It provides a set of ‘bridges’ at key points of transition in a person’s life, in particular from hospital to home (and from home to hospital) and from illness or injury to recovery and independence; helping them achieve their personal outcomes. The framework identifies the common and key components that should make up these services, however they may be configured. These include: clear, agreed scope, focused on prevention, rehabilitation, reablement and recovery; time limited interventions, linking and complementing existing services; accessible, flexible and responsive services through a single point of access, 7 days a week, and 24 hours a day; holistic assessment; coordinated interventions, able to draw on multi-professional and multi- agency skills; and care provision managed for improvement. The document also provides additional detail and further examples of intermediate care including: triage, early diagnosis and assessment; acute care at home; multi-disciplinary rapid response community teams; enhanced supported discharge; community hospitals and care homes; NHS pharmaceutical care in the community; falls prevention services; home care reablement; and services for people with dementia and other mental health conditions. (Edited publisher abstract)
Intermediate care: lessons from a demonstrator project in Fife
- Authors:
- MITCHELL Fraser, et al
- Journal article citation:
- Journal of Integrated Care, 19(1), February 2011, pp.26-36.
- Publisher:
- Emerald
Intermediate care services are widely seen as key to tackling delayed discharge and reducing emergency admissions. However, to date, intermediate care is not common in Scotland. This article, using interviews from stakeholders, reports on the experiences and outcomes of a demonstrator project in Fife aimed at improving these services. The project focused on three main areas: workforce development, extended access and pharmacy. The outcomes provide valuable information to guide future developments in intermediate care services. Key points arising from the study showed that a project management approach ensured a focus on outcomes and provided governance of the project, and the involvement of staff and service users was essential in measuring outcomes. Also, the involvement of finance sections and human resources from across the health and social care partnership was required to address joint commissioning and staffing issues.
Redesigning a local authority residential care home to provide an intermediate care resource
- Author:
- LLOYD-JONES Angie
- Journal article citation:
- Journal of Care Services Management, 4(4), September 2010, pp.286-294.
- Publisher:
- Taylor and Francis
Key national policy drivers have identified the need for change in the way that services are delivered, with shifts to interagency redesign and the need for a whole system approach to early intervention, prevention, rehabilitation and enabling. The Scottish Borders Council has carried out a pilot study to redesign a wing within a local authority residential care home to provide an intermediate care resource that would deliver short-term intensive rehabilitation to support people to live in their own homes. This paper presents the findings from the evaluation carried out on this pilot. The evaluation provides statistical data which includes the number of admissions, reasons for referral, diagnosis, length of stay and discharge outcomes. The unit was consistently in demand and was full on 3 occasions. Of the 51 admissions, 36 were discharged to their own homes. Qualitative data based on feedback from 26 questionnaires indicated that the clients were happy with the service they had received on the unit and felt that they had achieved the aims of their rehabilitation. The paper concludes that the redesign has demonstrated an effective model that can be a transferable framework to deliver intermediate care in other residential care homes.
Intermediate care or integrated care: the Scottish perspective on support provision for older people
- Author:
- PETCH Alison
- Journal article citation:
- Journal of Integrated Care, 11(6), December 2003, pp.7-14.
- Publisher:
- Emerald
Looks at how the concept of intermediate care appears to have been rejected in Scotland in favour of an emphasis on integrated care. The article explores the apparent divergence in the broader context of policy variation post-devolution and against the aspirations for a whole-system approach.
Implementing a step down intermediate care service
- Authors:
- LEVIN Kate A., et al
- Journal article citation:
- Journal of Integrated Care, 27(4), 2019, pp.276-284.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore implementation and development of step-down intermediate care (IC) in Glasgow City from the perspective of staff. Design/methodology/approach: The study used qualitative methods. Nine key members of staff were interviewed and three focus groups were run for social work, rehabilitation and care home staff. Framework analysis was used to identify common themes. Findings: The proposed benefits of IC were supported anecdotally by staff. Perceived enablers included: having a range of engaged stakeholders, strong leadership and a risk management system in place, good relationships, trust and communication between agencies, a discharge target, training of staff, changing perception of risk and risk aversion, the right infrastructure and staffing, an accommodation-based strategy for patients discharged from IC, the right context of political priorities, funding and ongoing adaptation of the model in discussion with frontline staff. Potential improvements included a common recording system shared across all agencies, improving transition of patients from hospital to IC, development of a tool for identifying suitable candidates for IC, overcoming placement issues on discharge from IC, ensuring appropriate rehabilitation facilities within IC units, attachment of social work staff to IC units and finding solutions to issues related to variation in health and social care systems between sectors and hospitals. Originality/value: The findings of this study help the ongoing refinement of the IC service. Some of the recommendations have already been implemented and will be of value to similar services being developed elsewhere. (Edited publisher abstract)
Report on a survey of re-ablement activity in Scotland and performance measurement
- Authors:
- GRAHAM Gerry, McLEAN Sam, DAVIDSON Alex
- Publisher:
- Joint Improvement Team
- Publication year:
- 2013
- Pagination:
- 41
- Place of publication:
- Edinburgh
Reports on the results of a telephone survey of reablement services in Scottish local authorities which was carried out in early 2012 and the findings from three seminar discussions on the subject of performance measurement in reablement. The response rate to the survey was 97 per cent, with 31 out of the 32 authorities/partnerships taking part. Issues covered in the survey included: the status and type of the service, staffing levels and job roles involved in staffing the service and key characteristics of the service. The survey also gathered information on the impact of re-ablement services in terms of shift in spending; commissioning and procurement; integrated working with the NHS; and the introduction of telecare, telehealth and equipment. The survey confirms that re-ablement activity has now become the norm in the majority of Scottish local authorities. (Edited publisher abstract)
Hospital to home
- Author:
- INSTITUTE FOR RESEARCH AND INNOVATION IN SOCIAL SERVICES
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2014
- Place of publication:
- Glasgow
Produced as part of a pathway mapping activity with practitioners, this document looks at the care older people experience when discharged from hospital in Scotland and the challenges practitioners face. Four of the most common care pathways are identified and illustrated: returning straight home (with or without family support); early supported discharge or intermediate care at home; step down or intermediate care; and admission straight to a care home. The document also presents key findings from a literature review on delayed discharge and the pathway between hospital and home to highlight some of the key problems and solutions. The resource has been developed as part of a 20-month project to redesign the pathway from hospital to home for older people across Scotland. (Edited publisher abstract)