Commissioning out of hospital care services to reduce delays

Commissioning out of hospital care services to reduce delays
IPC March 2020

• This paper offers a structured approach to understanding demand, supply and impact of our out of hospital care systems through a data collection template and proposition for a ‘model’ for describing the service elements which make up ‘intermediate care services’. It looks in detail at the services that are most likely needed in order to build an effective set of intermediate care services and the quantity of that service that may vary from place to place. It introduces an approach to outcome based commissioning.

Reablement services for people at risk of needing social care

Reablement services for people at risk of needing social care: the MoRe mixed-methods evaluation
Health Services and Delivery Research, No. 7.16, April 2019

• Reablement is an intensive, time-limited intervention for people at risk of needing social care or an increased intensity of care. Differing from home care, it seeks to restore functioning and self-care skills. In England, it is a core element of intermediate care.
• The research presents the findings of a survey of existing services, an observational study of three reablement services, and interviews with staff in staff in eight reablement services.

National Audit of Intermediate Care Summary Report 2017 for England

National Audit of Intermediate Care (NAIC) Summary Report 2017 for England
NHS Benchmarking Network 24 November 2017

• An updated picture of what is happening within intermediate care services, which are delivering care and support largely, but not exclusively, to older people living with complex conditions including frailty, multi-morbidity and with reduced functional ability.
• The key themes from NAIC 2017 include Effectiveness of intermediate care, Service user experience, Integration, Investment and capacity.
• Includes Service category definitions.

Understanding intermediate care, including reablement

Understanding intermediate care, including reablement: A quick guide for people using intermediate care services
NICE, SCIE October 2017

• An overview of intermediate services for people who use the services and their families and carers including the types of service available, the four stages of intermediate care and the professionals involved in providing care.

Acting without delay - How the independent sector is working with the NHS to reduce delayed discharge

Acting without delay - How the independent sector is working with the NHS to reduce delayed discharge
NHS Partners Network, NHS Confederation 14 June 2017

• A series of case studies which demonstrate how strong partnerships between the NHS and independent sector providers are tackling the issue of Delayed discharges and transfers of care (DTOCs).
• Includes: virtual wards, complex care provided in care homes, use of spare capacity in independent hospitals, better use of intermediate care, specialist rehabilitation to improve patient recovery.