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Intermediate care: guidance for commissioners and providers of health and social care
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2008
- Pagination:
- 6p.
- Place of publication:
- London
This guidance sets out the British Geriatrics Society's position on intermediate care and the commissioning of service. The concept of intermediate care (I.C.) was first signalled in the National Beds Enquiry , became policy in the NHS Plan and was implemented in England through the National Service Framework (NSF) for Older People . I.C. is conceived as a range of service models aimed at “care closer to home” and has involved the expansion and development of community health and social services. Some confusion has arisen because of varying definitions and terminology in respect of I.C. - both at local level and between UK counties. However, the two underpinning aims are, firstly, to provide a genuine alternative to hospital admission for some carefully selected patients and, secondly, to provide early supported discharges for others. Both aims require the provision of opportunities for further assessment and rehabilitation of older people. It is also expected that the increased availability of I.C. will prevent frail older people transferring to long-term care directly from an acute services.
Implementation of the national service framework and intermediate care seen from geriatricians' and older people's perspectives: results of two national surveys; reasons for optimism, reasons for concern
- Authors:
- AGE CONCERN, BRITISH GERIATRICS SOCIETY
- Publishers:
- Age Concern, British Geriatrics Society
- Publication year:
- 2002
- Pagination:
- 5p.
- Place of publication:
- London
Both organisational authors were concerned to find that a significant number of hospital beds previously used for acute or rehabilitation care had been switched to intermediate care. Local intermediate care services appear to remain fragmented. On the medical side there is significant lack of specialist input into clinical management. The significant increase in workload generated by the National Service Framework (NSF) for Older People may not be sustainable without further resources.
Capturing beneficial change from the COVID-19 pandemic: response from the British Geriatrics Society
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2020
- Pagination:
- 18
- Place of publication:
- London
This report provides examples of the beneficial innovations that have been implemented across the NHS during the COVID-19 pandemic. It argues that they should be consolidated and retained as health care services start to resume business as usual. Some of the innovations take place at the interface between health and social care, giving an indication of how integrated care can move forward. The examples are organised into ten themes, covering: proactive anticipatory care for older people with frailty; urgent primary care response; specialist-led assessment and treatment at home; coordinated multi-agency support for care homes; person-centred advance care planning; age-attuned acute care; safe, effective and timely transfers of care; optimising rehabilitation and recovery; virtual clinics; and digitally-enabled care. For each theme, the report provides a short description of the innovation, one or two examples of this innovation being implemented and a brief outline of the benefits to patients and staff. The document concludes with details of the key enablers that are present throughout the themes and details on how these innovations can be sustained nationally to ensure that the lessons learned in the pandemic are not lost. (Edited publisher abstract)
Standards of care for specialist services for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2002
- Pagination:
- 11p.
- Place of publication:
- London
This report argues the need for adequate access to acute teams specialising in the needs of older people (at the main hospital site) with interdisciplinary team support, including an acute stroke unit and wards specialising in the management of older people with fractures. Policies for admission and referral need to be agreed locally and information to be made available to older people. Access to comprehensive non-inpatient assessment and rehabilitation, could be via a day hospital. There needs to be partnership working with all stakeholders (including older people and carers) in the local health economy, both to develop services and to ensure appropriate joint learning and training for all groups of staff.