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Success Factors for “Step up Step down” care…

Success Factors for “Step up Step down” care…. Intermediate Care Between hospital and home A range of options and facilities Rehab focused++ Goal orientated Client centered Maximum of 6 week intervention. Challenges for “Step up step down” care ….

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Success Factors for “Step up Step down” care…

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  1. Success Factors for “Step up Step down” care… Intermediate Care Between hospital and home A range of options and facilities Rehab focused++ Goal orientated Client centered Maximum of 6 week intervention

  2. Challenges for “Step up step down” care ….. Total admissions May 2008 – December 2012 = 390 Waverley opened May 2008 = 268 Grove opened May 2011 = 81 Saltgreens opened January 2012 = 31 St Ronans opened October 2012 = 10 Deanfield planned for 2014

  3. Admission Reasons Facilitate hospital discharge 285 Prevent hospital admission 78 Prevent care home admission 1 Inappropriate referral/unknown 46

  4. Who can admit someone? Social Work staff (must be allocated client / actively involved) GP’s via the Hub or START Team DN’s via the Hub or START Team START Team BGH – SW, AHP & Nursing staff Community Healthcare teams Other SW and NHS staff out with the area

  5. Discussion How to set up How to manage process What works well What is a challenge

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