The Intermediate Care transformation is focussed on enabling and delivering improved, consistent pathways to step up and step-down care. This includes taking a system-wide approach ensuring timely and appropriate access to intermediate care beds and support for people in their own homes to enable people to stay well, safe and independent for longer. The main focus is to develop more step-up pathways in conjunction with the development of a Hospital@Home service model.
- Standardisation of home-based intermediate care offer being taken forward
- Reduction in length of stay for particular cohorts of patients, pathway by pathway
- Therapy team working with community on developing a step-up model
- D2RA Action Plan developed, key areas of focus
- Understanding overnight provision.
- Scoping bed base admission criteria and standardisation across all places.
- Understand mental health needs, articulate IC offer, based on clinical needs not just timeframes.
- Discharge processes. Utilize H@H, Virtual Ward and Telehealth
- Reviewing MDT principles
- Step up model and commissioning gaps
- Review national leaflets
- More patients are going home from intermediate care beds to their own homes with little further health input
- Clinical deterioration meetings to review all patients who have deteriorated within 72 hours of admission now live (positive safety tool).
- Standardisation of home-based intermediate care offer being taken forward
- Reduction in length of stay for particular cohorts of patients, pathway by pathway. Our first big success is the orthopaedic pathway that has seen an increase in patient flow and a decrease in the length of stay within Longmoor House and on the orthopaedic wards with Liverpool University Hospitals NHS Foundation Trust
- More patients are going home from intermediate care beds to their own homes with little further health input
- Clinical deterioration meetings to review all patients who have deteriorated within 72 hours of admission now live (positive safety tool).