Intermediate care

Right Care, Right Place, Right Time 

In 1997, the Government presented a new model of care to address the health and social care needs of people in supporting them to regain and maintain independence, whilst remaining in, or close to, their own home.

This model of care was named “Intermediate Care” and it has three principles:

  1. services should be provided that prevent people being admitted to hospital;
  2. services should be provided to assist a timely hospital discharge, when admission is necessary;
  3. services should be provided that encourage promotion of good health, enabling people to make informed choices to remain as independent as possible, within their own homes.

The Kings Fund definition of Intermediate Care is:

“A short-term intervention to preserve the independence of people who might otherwise face unnecessarily prolonged hospital stays, or inappropriate admission to hospital or residential care. The care is person centred, focused on rehabilitation and delivered by a combination of professional groups”

Intermediate Care delivery is dependent on a partnership between NHS Trusts (Acute Hospital, Community Hospital, Mental Health and Primary Care) and local Authorities. Alongside this partnership, other working relationships (statutory, private and voluntary agencies) contribute to maximising or optimising all opportunities to realise the objectives of Intermediate Care.

In Suffolk, the county has developed partnerships across the county with the relevant Health Trusts:

In line with the National Vision, “Intermediate Care” initiatives have been developed in response to locally identified demands on the whole system

Successful delivery of Intermediate Care is best achieved in peoples’ own homes (or close to), where independent living is the goal. In providing local solutions to the residents of Suffolk, the partnerships forged aim to enable, empower and improve the experiences of those who need support at a time of crisis.

Suffolk County Council's contribution to Intermediate Care is part of a multi-disciplinary response, and covers both assessment and direct provision of community based rehabilitation services.

People receiving a service from Suffolk County Council are usually financially assessed but health care needs are delivered free to people by the NHS trusts. These services are are received for anything up to 6 weeks. If services are needed after this time, then there is a re-assessment.

This model of care is continually developing, as innovative ways are considered to deliver health and social care services, whilst maintaining a person-centred focus.