PROGRAMMES > REABLEMENT AND REHABILITATION > INTERMEDIATE CARE

A key priority for Newcastle is to integrate and transform our ‘Intermediate Care System’ to enable people to leave hospital as soon as they are medically fit and where possible to be able to offer people with increasingly complex care needs, an alternative care response to admission. Our over-riding principles are that the care of older people should be in, or as close to, their own homes as possible.

Newcastle Health and Social Care partners have co-designed and developed an Intermediate care model which will be piloted for a one year “proof of concept” initiative.

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·      Through integrating and coordinating existing teams we have a Care Coordination Team based at the RVI who will identify and assess patients in the hospital system who can move to receive intermediate care out of hospital.

·      Our expanded Discharge to Assess approach means that people who can return home will receive timely care and support from the Community Response and Rehabilitation Team (CRRT)

·      Our re-design work means that the previous consultant led beds at Wheatfield Court have been converted to a 20 bedded enhanced intermediate care facility offering step up from community and step down from hospital. The 20 beds, now known as Eden Court, are supported 7 days a week by a comprehensive multi-disciplinary team including nurse practitioners, nurse specialists, physiotherapists, occupational therapists, social workers, pharmacists and medical staff.

This enhanced care facility at Eden Court will provide an opportunity for patients to:

·      Recuperate – following a period of illness

·      Recover –following a functional decline in their health and/or well being

·      Rehabilitate – with planned programmes of re-ablement and rehabilitation.

The aim of the service is to help people – often older people - avoid going into hospital unnecessarily, to help them be as independent as possible after discharge from hospital and to prevent them having to move into residential or nursing homes until they really need to.

This “proof of concept” initiative means that Newcastle Health and Social care partners are currently agreeing outcomes and metrics to support the monitoring and evaluation of the model.

Existing services such as Connie Lewcock, CRRT and the Reablement Service will all continue ensuring delivery of the full range of intermediate care services across Newcastle.

Access to these intermediate care services is via CRRT as follows:

Tel: 0191 277 7034 (Office Hours Monday-Friday 8.30am – 5.00pm)

Out of Office Mobile: 07500 128 496 (Monday- Friday 5.00pm – 8.30pm, Saturday and Sunday 8.30am-8.30pm)