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Ready to go home: rehabilitation re-discovered
- Authors:
- MILLARD Peter H., SHARMAN Julie
- Publisher:
- Age Concern
- Publication year:
- 1999
- Pagination:
- 32p.,bibliog.
- Place of publication:
- London
Argues that the missing link, the solution to the repeated hospital bed crises, and to the waiting list dilemma is rehabilitation. It is known from clinical experience why rehabilitation works. It would also be appropriate to the dignity of older people. Rehabilitation programmes would start in the hospital and be completed in the community only when the person's full potential had been reached.
What we did on our holidays - a tale of health and social care
- Author:
- DAWSON Jill
- Journal article citation:
- Quality in Ageing, 9(4), December 2008, pp.4-8.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
The author discusses her experience of managing the complexities of inter-agency care when her mother-in-law became ill. She tells the story of how her mother-in-law was admitted into a nursing home and then discharged, after being assessed by the intermediate care team.
Buying Time II: an economic evaluation of a joint NHS/Social Services residential rehabilitation unit for older people on discharge from hospital
- Authors:
- ELLIS Annie, et al
- Journal article citation:
- Health and Social Care in the Community, 14(2), March 2006, pp.95-106.
- Publisher:
- Wiley
The study's aim was to investigate the cost-effectiveness of an NHS/Social Services short-term residential rehabilitation unit (a form of intermediate care) for older people on discharge from community hospital compared with 'usual' community services. An economic evaluation was conducted alongside a prospective controlled trial, which explored the effectiveness of a rehabilitation unit in a practice setting. The aim of the unit was to help individuals regain independence. A matched control group went home from hospital with the health/social care services they would ordinarily receive. The research was conducted in two matched geographical areas in Devon: one with a rehabilitation unit, one without. Participants were recruited from January 1999 to October 2000 in 10 community hospitals and their eligibility determined using the unit's strict inclusion/exclusion criteria, including 55 years or older and likely to benefit from a short-term rehabilitation programme: potential to improve, realistic, achievable goals, motivation to participate. Ninety-four people were recruited to the intervention and 112 to the control group. Details were collated of the NHS and Social Services resources participants used over a 12-month follow-up. The cost of the resource use was compared between those who went to the unit and those who went straight home. Overall, costs were very similar between the two groups. Aggregated mean NHS/Social Services costs for the 12 months of follow-up were £8542.28 for the intervention group and £8510.68 for the control. However, there was a clear 'seesaw' effect between the NHS and Social Services: the cost of the unit option fell more heavily on Social Services (£5011.56, whereas £3530.72 to the NHS), the community option more so on the NHS (£5146.74, whereas £3363.94 to Social Services). This suggests that residential rehabilitation for older people is no more cost-effective over a year after discharge from community hospital than usual community services. The variability in cost burden between the NHS and Social Services has implications for 'who pays' and being sure that agencies share both pain and gain.
Nursing home intermediate care
- Author:
- FOTI Sam
- Journal article citation:
- Working with Older People, 8(1), March 2004, pp.17-20.
- Publisher:
- Emerald
Describes how the charity Brendoncare Foundation set up an intermediate care service in one of its nursing homes in partnership with a local NHS trust.
Slow progress
- Authors:
- ANDREWS Fred, BURDON Paul, COOPER Kevin Huggins
- Journal article citation:
- Community Care, 21.2.02, 2002, pp.32-33.
- Publisher:
- Reed Business Information
During the past two years, the Audit Commission's, district audit, which audits local authority and NHS spending, has reviewed the provision of mental health and rehabilitation services for older people by the NHS and local authorities. Reports on the author's findings.
Real life research: the ups and downs of an intermediate care study
- Authors:
- TRAPPES-LOMAX Tessa, ELLIS Annie, FOX Mary
- Journal article citation:
- Managing Community Care, 9(5), October 2001, pp.18-24.
- Publisher:
- Pavilion
The second article about a comparative study of joint health and social care rehabilitation for older people. Discusses what has worked well so far, and how the various obstacles to doing systematic research across two complex have been tackled organisations. Also describes the sample group and report on data collection so far.
Intermediate care and the housing connection
- Author:
- FLETCHER Peter
- Journal article citation:
- Housing Care and Support, 4(2), May 2001, pp.12-14.
- Publisher:
- Emerald
Until recently there was a lot of confusion about the meaning of the term 'intermediate care' and the role, if any, that the supported housing sector can play in the development of intermediate care services. This article examines what intermediate care is, who it is for, and what the housing and support contribution might be.
Lost and confused
- Authors:
- JANZON Karin, et al
- Journal article citation:
- Health Service Journal, 9.11.00, 2000, pp.26-29.
- Publisher:
- Emap Healthcare
Little is known about the needs of people entering nursing and residential homes. Reports on research at Barking and Havering health authority which suggests the NHS may be failing them.
Will intermediate care be the undoing of the NHS: here's another bit of covert privatisation
- Author:
- POLLOCK Allyson M.
- Journal article citation:
- British Medical Journal, 12.8.00, 2000, pp.393-394.
- Publisher:
- British Medical Association
Then government has won praise for its new plan for the NHS, where it reaffirms its commitment to the principles of a universal comprehensive health service. Under the plan, new care trusts will be able to commission and deliver both primary and community health care as well as social care. They will define what is NHS care and what is social care, with the social care elements subject to local authority charging policies. But there is inevitable debate about the boundary between nursing and personal care - when does a bath move from being personal care to nursing care.
The unsound barrier
- Author:
- SEYMOUR Jane
- Journal article citation:
- Nursing Times, 20.5.98, 1998, pp.56-58.
- Publisher:
- Nursing Times
Rehabilitation programmes for older patients have a positive role to play and are cost-effective. The author argues that ageism in the NHS has led to a failure to exploit its potential.