Intermediate care service

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About the service

The intermediate care service is provided to patients after leaving hospital or when they are at risk of being admitted to hospital.

The service is a ‘bridge’ between hospital and independent living and aims to stabilise and improve levels of independence and wellbeing to a point where support is no longer needed or the person can be offered other appropriate care/services.

The  service aims to:

  • Help people avoid going into hospital unnecessarily
  • Assist people to be as independent as possible after a stay in hospital
  • Prevent people from having to move permanently to a residential home unless they need to.

The intermediate care service is made up of:

Rapid response service (crisis response team)
Operating 24/7 as an alternative to hospital admission. The team undertakes intervention outside of service hours for district nursing, urology, palliative care, home enteral feeding and other specialist nurses. People are supported in their own home, nursing home etc, according to their need and level of dependency.

The hospital at home service (neighbourhood rehabilitation team)
The team provides rehabilitation to medically stable residents in their own home and residential care. The service provides specialist community therapy assessment and treatment to improve health and independence. In addition, the service offers rehabilitation to enable earlier discharge from hospital.

Why would someone choose the service?

  • People are treated in their own home, instead of in hospital
  • Service promotes wellbeing and independence – supporting people to effectively self-manage their condition whilst living in the community
  • We promote faster recovery from illness – preventing  unnecessary re-admission to hospital

Staff you may meet