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Implementing reimbursement around discharge from hospital
- Author:
- GREAT BRITAIN. Department of Health. Health and Social Care Joint Unit
- Publisher:
- Great Britain. Department of Health. Health and Social Care Joint Unit
- Publication year:
- 2002
- Pagination:
- 15p.
- Place of publication:
- London
Older people should not have to wait o leave hospital when they are ready to do so. The government intends, subject to legislation, to introfduce a system of reimbursement at the point when responsibility for a patient's care transfers from the NHS to social services, by April 2003.
Developing intermediate care: a guide for health and social services professionals
- Authors:
- STEVENSON Ian, SPENCER Linda
- Publisher:
- King's Fund
- Publication year:
- 2002
- Pagination:
- 131p.,bibliog.
- Place of publication:
- London
The first part of the guide looks at the policy issues surrounding intermediate care. It covers: definitions of intermediate care; government policy on intermediate care; and the trends driving the development of intermediate care. The second part of the guide provides planners, commissioners and providers with a summary of research evidence that can be used to support plans for intermediate care and inform service developments. The remaining part of the guide offers practical guidance on how to develop intermediate care in your local care community.
Response to the Royal Commission on Long Term care: October 2000
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2000
- Pagination:
- 15p.
- Place of publication:
- Edinburgh
The Royal Commission, was set up to examine the short and long term options for a sustainable system of funding long term care for older people both in their own homes and in other settings and to recommend how and in what circumstances the cost of such care could be apportioned between public funds and individuals. This report sets out the Scottish EXecutive's recommendations and endorsements of the Report.
Long term care and the National Health Service
- Author:
- MILLARD Peter
- Publisher:
- National Pensioners Convention
- Publication year:
- 2001
- Pagination:
- 31p.
- Place of publication:
- London
Examines the consequences of the government's rejection of the Royal Commission on long term care. Topics discussed include: long term care and the National Health Service; developing specialist hospital services; running down specialist services for older people; rehabilitation; intermediate care.
Nursing homes in England and their capacity to provide rehabilitation and intermediate care services
- Authors:
- JACOBS Sally, RUMMERY Kirstein
- Journal article citation:
- Social Policy and Administration, 36(7), December 2002, pp.735-752.
- Publisher:
- Wiley
The numbers of older people living in residential and nursing home care in the UK have risen exponentially since the early 1980s when the closure of long-stay geriatric wards and changes in social security funding of care home places led to a rapid expansion of the care home industry. While the implementation of the 1990 National Health Service (NHS) and Community Care Act shifted the responsibility for the commissioning and funding of these services to local authority social services departments, the provision of most health services (such as general practitioner care, physiotherapy and specialist nursing services) to nursing home residents remains the responsibility of community-based NHS practitioners. Recently, the attention of policy-makers in the UK has been focused on the need to improve the throughput of the acute sector. Older people who have received treatment but are not yet able to return to their own homes are to be transferred into intermediate care facilities, often by using nursing home beds, with the aim of supporting short-term rehabilitation outside of the acute sector. This paper presents evidence from a study of health service provision to older people living in nursing homes in England. It examines whether nursing homes have the capacity to fulfil the rehabilitation and intermediate care function envisaged by policy-makers. It concludes that shortfalls in the provision of NHS services to nursing homes and difficulties faced by nursing homes in paying for health services themselves may hinder the rehabilitation potential of intermediate care placements in nursing homes.
Rehabilitation and intermediate care for older people
- Author:
- KING'S FUND
- Publisher:
- King's Fund
- Publication year:
- 2000
- Pagination:
- 4p.bibliog.
- Place of publication:
- London
Where rehabilitation is not available older people may have to go into hospital unnecessarily or spend longer time, before going home. They may be placed unnecessarily into permanent residential care. Others may return home, but lead a very restricted lifestyle. In the situation the person becomes more dependent on health services and less likely to look after themselves. They are more likely to be readmitted into hospital, particularly in winter when demand for beds is at its peak.