Newport Intermediate Care Service

Intermediate Care

• Services that divert admission from an acute setting, support timely discharge from the acute setting or avoid an unnecessary admission to long term care.

• Time limited, usually up to six weeks.

• Provided in the persons own home.

• Joint working between health &social services.

Newport

• Rapid Response• PATH• Community Reablement• Community Physiotherapy• Long Term Conditions• Expert Patient Programme• Liaison Psychiatric Nurse• Consultant Physician

Intermediate Care Service

• Joint working within teams and within ICS.

• Overarching Aims & Objectives and Service Specification.

• Liaison between members of teams for a seamless service.

• Integrated working practices to ensure right person provides right input at the right time.

Community Reablement

• Reablement Social Worker

• Reablement Nurse

• Physiotherapist

• Occupational Therapist

• Reablement Assistants

• Administrator

• Manager

Community Reablement

• Initial holistic multidisciplinary assessments using UAP to identify reablement potential, needs, motivation, goals, wishes and future plans.

• Specialist assessments identifying goals and planning programmes with clients.

• Assistants work with clients as planned to reach their goals.

• Review weekly as a multidisciplinary team.• Plan for future needs prior to discharge.• Review independence.

Data

• 545 referrals last year• 233 programmes completed• 500 pieces of Equipment provided• 350 Referrals for home alterations• Referrals for DFG• Saving of 192 hours per week of

homecare• Saving £79,000 on Homecare packages

Newport Intermediate Care Service

• Evolving and developing service.• Responsive to change.• Learning and teaching.• Highlighting good practice.• Publicised via website/leaflets/visits/road-

shows.• High customer satisfaction rate.• Good feedback from referrers.