Intermediate care, including community bed services, provides support to help people with escalating needs to avoid a hospital admission (step-up care). Intermediate care also enables people to leave hospital as soon as possible, even when some additional care and support is needed before returning home (step-down care). Helping people to reduce the time spent in hospital is important because, promoting independence whilst acute hospitals provide high quality care, they also have the potential to expose people to avoidable harm.

In working to achieve the principle of providing care and support as close to home as possible, all members of the intermediate care workstream are committed to developing models of care which support the ethos of home first. Working alongside CCG and local authority commissioners, as well as community service providers like district nurses, GPs and therapy services, we continue to make improvements to NHS community beds through a focus on:

  • Auditing who uses community beds and why, to ensure we have the right types of beds in the right places
  • ensuring only the people who need to be in a community bed are transferred to one
  • increasing the amount of therapy input available to people in a community bed
  • ensuring people and their carers are fully engaged in conversations about transfer to a community bed, and the purpose of the bed, reducing delays
  • changing the culture of community hospitals to promote holistic reablement and independence
  • Designing and implementing a plan to provide enhanced health input into local authority short stay units by Winter 2019/20
  • Designing and piloting a Multi-Agency Health and Social Care assessment Unit (MAHSU), to provide an alternative to Accident &Emergency or hospital admission

More Information

For more details on the Intermediate Care programme or to get involved in the programme please see our contacts page.