Results for 'intermediate care'
Results 1 - 5 of 5
O'DOWD Nora Cooke, DORNING Holly
This briefing looks at trends in national measures in English community trusts to try to gain a view of quality in community services more generally. The analysis examines trends in routinely collected national quality measures in 18 community trusts in England, which account for a quarter of all community health services delivered in the NHS. Some of the key findings are: care in community trusts was predominantly delivered by professionally qualified clinical staff such as community health nurses, allied health professionals and community health visitors – staff numbers in the 18 trusts stayed roughly stable between late 2013 and 2016, although demand has almost certainly increased; these staff were roughly as satisfied with their jobs as staff in all NHS trusts, although they were less likely to recommend their trust as a place to work; the median waiting time for an outpatient appointment was three days longer in the community than across all trusts in England; patients using services offered by community trusts would generally recommend them to a friend and were less likely to experience harm compared to those using services provided by non-community trusts. The briefing concludes that the difficulties experienced in gathering useful information on community services indicate that the national lack of community data needs to be resolved before questions of quality can be meaningfully answered.
Somerset Care and Yeovil District Hospital
Cookson’s Court nursing home was opened by Somerset Care in September 2015 with one floor of the new facility reserved solely for the use of the company’s new intermediate care/reablement service, delivered in collaboration with Yeovil District Hospital. “There are no words to express my gratitude, thank you with all my heart. I’ve been born again.” (Service user feedback). In part a response to poor delayed discharge performance in the Somerset area, the collaboration aims to: improve patient flow at Yeovil District Hospital and reduce lengths of stay; provide a reablement focused environment; and improve clinical outcomes and reduce costs.
Stockton-on-Tees Borough Council
Stockton Borough Council established a Multi-Disciplinary Service (MDS) in October 2015, as part of their Better Care Fund plan. The process of designing and implementing the service was through creating a partnership with all key stakeholders in across health, social care and the voluntary sector: Hartlepool and Stockton-on-Tees CCG - Health Commissioners; Stockton-on-Tees Borough Council - Social Care; North Tees and Hartlepool FT - Acute and Community Health; Tees Esk and Wear Valleys FT - Mental Health Trust; and the Voluntary Community and Social Enterprise sector. The executive management teams of all partner organisations signed up to the MDS and have continued to support its development though regular updates at the Joint Health and Wellbeing Board.
The ExtraCare Charitable Trust
ExtraCare’s Wellbeing Programme was developed in 2002, in partnership with older people who live at ExtraCare’s Schemes and Villages. The concept was launched following a survey, which highlighted that 75% of residents at one location had not accessed any health screening via their GPs or the NHS. A pilot screening scheme subsequently identified 122 previously undetected conditions amongst a population of just 136, highlighting a clear need for the Programme.
TRAPPES-LOMAX Tessa, HAWTON Annie
Effective reablement is dependent on service users' co-operation and motivation. It therefore needs to be highly responsive to their needs and views. This study offers specific user views about their experiences in different settings and at different stages of reablement, together with their ideas for how it might work better. The study describes the experiences of 42 older people in rehabilitation services in community hospitals and local authority short-term residential units followed by “usual care” services at home. It is based on semi-structured face-to-face interviews in 2002/3, from East and Mid Devon, England. Findings revealed four main themes: the complexity of rehabilitative need; the influence of the setting; the role of the staff; and the availability of reablement support back at home. The authors concluded that the findings demonstrate changing rehabilitative needs along the care pathway, with implications for commissioners and providers of reablement services.
Results 1 - 5 of 5