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Intermediate Care

Intermediate Care. Strategic Health Commissioning Topic Group 12/7/07. Intermediate Care Services. Avoid unnecessary hospital stays or inappropriate admissions Based on care plans that involves active therapy, treatment or opportunity for recovery

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Intermediate Care

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  1. Intermediate Care Strategic Health Commissioning Topic Group 12/7/07

  2. Intermediate Care Services • Avoid unnecessary hospital stays or inappropriate admissions • Based on care plans that involves active therapy, treatment or opportunity for recovery • Have a planned outcome of maximising independence and enabling patient/users to resume living at home • Are time-limited, normally no longer than six weeks • Involve cross-professional working

  3. Position Statement • Local Area Agreement stretch target • Step up and step down emphasis • Care pathways from hospitals • Delayed Transfers of Care • Acute Services Review

  4. Vision: Pathways which are.. • Outcome focused • Efficient • Safe • Promote health and wellbeing • Person centred • Meet individuals needs – time, rehabilitation/re-ablement • Set within a context of good quality, accessible intermediate care services

  5. Shared Priorities • Delayed Transfers of Care • Older people helped to live at home • Numbers benefiting from intermediate care • Hospital admissions and reductions in lengths of stay • Unscheduled acute bed days • Equitable access to intermediate care

  6. 2006/07 Performance • Stretch target exceeded • Better resource management – improved occupancy levels • New provision at Westgate • Work on establishing equity baselines • Reducing admissions and length of stay • Reducing unscheduled occupied bed days • Average total delayed transfers of care – 48 (2005/06 – 41)

  7. Analysis of performance • Stretch performance to be maintained for 2 years • Strong management of resources • Indications of good progress in prevention of admissions • Need to focus on step down • Need to increase intermediate care capacity?

  8. Opportunities • Acute Services Review • Financial planning and reality of new resources • Acute trust and redesigned care pathways • Tariff “unbundling” • Creativity and risk taking

  9. Financial Planning • Easing of PCT pressure from 2008/09 • £4.7m additional investment to be phased • Focus on community services • Step up and step down • ACS investment is considerable • Considering further pooling in the future

  10. Action Plan • Stakeholder event to finalise 30/7/07 • Standard specifications for intermediate care • Better unit cost information • Involving older people in this planning • Develop new care pathways & implement • Improve monitoring and data collection – outcomes • Commissioning to meet future demand

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