Independent Intermediate Care (South Angus)

Description

Intermediate Care is an umbrella term describing an approach involving a collection of services working with common shared objectives and principles. It provides a set of bridges at key points of transition in a person’s life, in particular from hospital to home or from home to hospital and from illness or injury to recovery and independence; helping them achieve their personal outcomes. The key aims of the Service are prevention, rehabilitation, enablement and recovery. Intermediate Care can: - Prevent unnecessary acute hospital admission or premature admission to long-term care; - Support timely discharge from hospital - Promote faster recovery from illness - Support anticipatory care planning and self-management of long-term conditions The Service will concentrate on providing independent intermediate care for Supported People, in South Angus, who are requiring rehabilitation intervention before they can return home from hospital (Step-down) or to prevent admission to hospital (Step-up). Supported People will meet the following criteria: - Step-down Care - Person over 65 years old; - Requires a period of rehabilitation / community care assessment/intervention prior to returning home; - Potential for recovery / rehabilitation within 21 days. This period of intervention should be no more than 6 weeks in duration. Step-up Care - Person over 65 years old; - Does not require 24-hour medical intervention; - Clear requirement for 24-hour supervised care; - Potential for recovery / rehabilitation within 21 days. This period of intervention should be no more than 6 weeks in duration