Transcript Newport Intermediate Care Service

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
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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
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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
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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
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Evolving and developing service.
Responsive to change.
Learning and teaching.
Highlighting good practice.
Publicised via website/leaflets/visits/roadshows.
• High customer satisfaction rate.
• Good feedback from referrers.