| |
Centre for Policy on Ageing | |
 | |
|
The organisation, form and function of intermediate care services and systems in England
— results from a national survey | | Author(s) | Graham P Martin, Graham J Hewitt, Teresa A Faulkner |
| Journal title | Health and Social Care in the Community, vol 15, no 2, March 2007 |
| Pages | pp 146-154 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Rehabilitation ; Aftercare ; Coordination ; Interaction [welfare services] ; Social surveys ; England. |
| Annotation | The results are reported of a postal survey of intermediate care coordinators (ICCs) on the organisation and delivery of intermediate care services for older people in England conducted between November 2003 and May 2004. Questionnaires covered a range of issues with a variety of quantitative, tick-box and open-ended questions, and were returned by 106 respondents, representing just over 35% of primary care trusts (PCTs). The authors discuss the role of ICCs, the integration of local systems of intermediate care provision, and the form, function and model of delivery of services described by respondents. Using descriptive and statistical analysis of the responses, they highlight the relationship between provision of admission avoidance and supported discharge, the availability of 24-hour care, and the locations in which care is provided. They relate their findings to the emerging evidence base for intermediate care, guidance on implementation from central government, and debate in the literature. Whilst the expansion and integration of intermediate care appear to be continuing apace, much provision seems concentrated in supported discharge services rather than acute admission avoidance, and particularly in residential forms of post-acute intermediate care. Supported discharge services tend to be found in residential settings, while admission avoidance provision tends to be non-residential in nature. 24-hour care in non-residential settings is not available in several responding PCTs. These findings raise questions about the relationship between the implementation of intermediate care, and the evidence for and aims of the policy as part of National Health Service (NHS) modernisation, and the extent to which intermediate care represents a genuinely novel approach to the care and rehabilitation of older people. (RH). |
| Accession Number | CPA-070413237 A |
| Classmark | LM: LN: QAJ: QK6: 3F: 82 |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|