Search results for ‘Subject term:"intermediate care"’ Sort:
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Making connections: effective development of the intermediate tier
- Authors:
- HERBERT Gill, LAKE Geoff
- Journal article citation:
- Journal of Integrated Care, 13(1), February 2005, pp.35-42.
- Publisher:
- Emerald
Distils messages from an extensive period of consultancy involving 25 primary care trusts and their local authority and acute and mental health services partners. Emphasis was on sharing experience of implementing national policies and learning together, which facilitated co-evolution within whole systems.
Audit of expenditure on intermediate care
- Authors:
- MOORE Jeanette, KEEN Justin
- Publisher:
- University of Leeds. Institute of Health Sciences and Public Health Research
- Publication year:
- 2005
- Pagination:
- 30p.
- Place of publication:
- Leeds
It is possible to offer an approximate estimate of expenditure on intermediate care for England in the two years covered by the study. If use is made of the National Statistics estimate of the population of England in 2003, of 49.856 million people in England, then 2002-03 expenditure was in the region of £360M. The equivalent expenditure figure for England for 2003-04 was £523M. The combined figure of £883M. is broadly similar to the figure stated by the Government for expenditure on intermediate care in those two years in the NHS Plan in 2000, ie £950M. These figures are likely to be underestimates so that the reported figure may be closer still to the Government’s original planning figure. The predicted figures were presented in slightly different forms in the period 2000 to 2001, so perhaps the most appropriate conclusion is that the figures are in the range anticipated by the Government in 2000.
The road to recovery: a feasibility study into homeless intermediate care
- Author:
- LANE Robyn
- Publisher:
- Great Britain. Department of Health. Health and Social Care Change Agent Team
- Publication year:
- 2005
- Pagination:
- 66p.
- Place of publication:
- London
Report on the need for improved hospital discharge procedures for homeless people. Highlights the need for more suitable recovery facilities and better provision for people with complex needs.
Transitional care facility for elderly people in hospital awaiting a long term care bed: randomised controlled trial
- Authors:
- CROTTY Maria, et al
- Journal article citation:
- British Medical Journal, 12.11.05, 2005, pp.1110-1113.
- Publisher:
- British Medical Association
This Australian study aimed to assess the effectiveness of moving patients who are waiting in hospital for a long term care bed to an off-site transitional care facility. The participants were 320 elderly patients in acute hospital beds (212 randomised to intervention, 108 to control). The intervention used was a transitional care facility where all patients received a single assessment from a specialist elder care team and appropriate ongoing therapy. The main outcome measures used included the length of stay in hospital, rates of readmission, deaths, and patient's functional level (modified Barthel index), quality of life (assessment of quality of life), and care needs (residential care scale) at four months. From admission, those in the intervention group stayed a median of 32.5 days in hospital. In the control group the median length of stay was 43.5 days. Patients in the intervention group took a median of 21 days longer to be admitted to permanent care than those in the control group. In both groups few patients went home (14 (7%) in the intervention group v 9 (9%) in the control group). There were no significant differences in death rates (28% v 27%) or rates of transfer back to hospital (28% v 25%). The authors conclude that for frail elderly patients who are awaiting a residential care bed transfer out of hospital to an off-site transitional care unit with focus on aged care "unblocks beds" without adverse effects.
Profiling intermediate care patients using the single assessment process: a road to better service provision?
- Authors:
- MACKENZIE Mathew, CARPENTER Iain, KOTIADIS Kathy
- Journal article citation:
- Journal of Integrated Care, 13(4), August 2005, pp.43-48.
- Publisher:
- Emerald
This paper demonstrates that three intermediate care services in Shepway, East Kent each cater for distinct patient groups, and that data from a single assessment process (SAP) tool can be used to differentiate between them. By applying statistical techniques, inferences can be made about the likelihood of admission to a particular service, given specific health characteristics. In conclusion, we highlight the utility of standardised assessment as a means of providing data for audit and planning, and stress the importance of the SAP as a means of developing care services.
A prospective baseline study of frail older people before the introduction of an immediate care service
- Authors:
- YOUNG John, et al
- Journal article citation:
- Health and Social Care in the Community, 13(4), July 2005, pp.307-312.
- Publisher:
- Wiley
This article describes the first part of a two-stage research project designed to investigate the clinical and service outcomes of a comprehensive intermediate care service. It is a baseline study of patients presenting to two elderly care departments as emergencies with the clinical syndromes of falls, incontinence, confusion or poor mobility before the introduction of a city-wide intermediate care service. The outcome measures were: mortality; disability (Barthel Index, BI); social activities (Nottingham Extended Activities of Daily Living); service use; and carer distress (General Health Questionnaire 28). These were measured at 3, 6 and 12 months after recruitment. Eight hundred and twenty-three patients were recruited (median age 84 years; 70% were women; 45% had cognitive impairment). There was a high mortality rate (36%), evidence for incomplete recovery, a gradual decline in independence over 12 months and a high degree of carer stress. There was little use of rehabilitation services, about 25% required readmission to hospital by each assessment point and there was a gradual increase in institutional care admissions. These findings support a needs-based argument for a more comprehensive community service for frail older people.
An evaluation of intermediate care for older people: final report
- Authors:
- GODFREY Mary, et al
- Publisher:
- University of Leeds. Institute of Health Sciences and Public Health Research
- Publication year:
- 2005
- Pagination:
- 533p., bibliog.
- Place of publication:
- Leeds
This project forms part of the national evaluation of intermediate care services in England commissioned by the Department of Health. Information on the National Intermediate Care Evaluation Project (NICEP) and the work being carried out by the other two research teams at Leicester / Birmingham Universities and the Bradford Hospital NHS Trust with Bradford and York Universities. This study examined the structure, content, outcomes and costs of intermediate care. The research questions guiding the study were: What is intermediate care? What are its effects and outcomes?.
Someone to expect each day
- Authors:
- CORNES Michelle, MANTHORPE Jill
- Journal article citation:
- Community Care, 8.12.05, 2005, pp.36-37.
- Publisher:
- Reed Business Information
The authors describe the findings of a research project on older people's experiences of intermediate care carried out by Help the Aged. The programme operated in seven sites across England and piloted different ways of including volunteers and the voluntary sector in NHS and social services intermediate care. The authors suggests the forthcoming white paper on care outside hospital will need to address how more intensive short-term support, such as that provided by intermediate care, can be cushioned by a tier of low-level continuous voluntary sector support which guarantees older people "someone to expect each day".
'If I can't go home I'll die'
- Author:
- -
- Journal article citation:
- Community Care, 24.11.05, 2005, pp.42-43.
- Publisher:
- Reed Business Information
A consultant facing bed pressures wants to move an older woman from hospital to a nursing home, but she wants to go home. A panel provide their assessment of the case.
The middle way
- Author:
- LEASON Katie
- Journal article citation:
- Community Care, 03.11.05, 2005, pp.34-35.
- Publisher:
- Reed Business Information
People with moderate mental health problems are often shunted from doctors' surgeries to specialist services and back again with little benefit to the patient. This article reports on a pilot project in Ipswich, the primary care intermediate mental health service, which offers another tier of support. Its clients have anxiety or depression, have usually seen their GP several times and tried medication unsuccessfully. They also tend to have complex housing, employment and relationship issues.