Intermediate/Reablement Care Beds

Examples of Practice

The facility was established to pilot a model that would:

  • prevent unnecessary permanent admission to residential care
  • prevent unnecessary admission to hospital.
  • facilitate discharge from hospital and contribute to managing delays in discharge from acute or community hospitals.
  • deliver support to ensure a safe and full re-integration into the Service Users home and local community.
  • assist Service Users’ in setting and achieving their planned goals, placing the emphasis on the Service Users needs. Goals will be set with the service users and reviewed weekly or as required throughout their stay
  • support Service Users to regain and maintain daily living skills.
  • support carers in their role during a person’s stay in the unit and after the assessment period is complete.
  • respond quickly and flexibly to the changing needs of the Service Users to support their return home.

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Intermediate Care and Enablement Service

Examples of Practice

East Ayrshire Community Health Partnership have been working collaboratively with Council , Health Board, private and voluntary sectors colleagues over a number of years to reduce admissions and readmissions to hospital,  encourage independence and support older people to remain at home.  At the same time older people are telling us that they wish to stay in their own homes whenever it is safe and practical to do so, to be helped to be more independent; and to have choice and control over how they manage their lives. Intermediate Care and Enablement Services is recognised as a key approach to meet the challenge to re-shape health, care and support services for older people.

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Community Geriatrician

Examples of Practice

Avoiding unnecessary admissions to hospital by supporting community-based alternatives to hospital admission.

 

 

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Extended Psychiatric Nurse Liaison Team For Older People in Acute Care

Examples of Practice

The service aims to promote the understanding of the need for an integrated approach in care of the elderly in acute care.  It demonstrates the impact that psychiatric morbidity can have on physical health and rehabilitation and how joint working with other professional groups can improve the quality of care and outcomes for elderly patients.  It has developed and implemented an acute pathway for people with cognitive impairment entering the acute hospital, and assisted in early identification and diagnosis of dementia by providing specialist assessment and treatment interventions, education and support to patients, staff and carers.

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