National Audit of
Intermediate Care highlights limited capacity and increasing delays within
intermediate care, risking heightened winter pressures on acute hospitals
Birmingham, 11th
NOVEMBER – The
National Audit of Intermediate Care’s 2015 report has been published today,
revealing that older people are waiting longer for access to intermediate care
services. Waiting times now average 3 days for bed based care, 6.3 days for
home based services, and 8.7 days for re-ablement.
Intermediate care helps
older people avoid unnecessary admissions to hospital, return home after
leaving hospital, and delay moving into costly residential or nursing homes.
High-quality
provision of intermediate care has been shown to improve outcomes for patients,
and reduce pressures on acute and social care services. This includes patients
admitted to hospital when they could have remained in their own home, or
waiting longer in a hospital bed when they could have been supported to return
home earlier.
Conversely, any
delays in accessing intermediate care may lead to delays in discharging
typically older patients from hospital, increasing pressure on acute services
over the busy winter months; reports are predicting that winter pressures will
be particularly challenging in 2015-16.
Speaking on behalf
of the NAIC, Professor John Young said:
“Intermediate care
services act as a critical sense check of whole system integrity and
performance for “at risk” older people. Yet they remain curiously invisible to
commissioners, managers and the general public.
In many ways, the
success or otherwise of the New Models of Care, and other current whole system
initiatives, will ultimately depend on capacity building in the intermediate
tier.
This year’s
National Audit of Intermediate Care reveals why we need to bring these services
out of the shadows: it’s imperative that decision-makers heed and respond to
its findings.”
Data published in
the NAIC’s 2015 report shows that demand for intermediate care continues to
outstrip capacity. The provision of intermediate care needs to approximately
double to meet increasing demand. Instead, funding has remained static over the
last three years, impacting negatively on the availability of services for
older people, and undermining the Government’s ambition to reduce hospital
admissions.
The evidence also
shows intermediate care driving improved working practices and closer working
between the NHS and Adult Social Care services (52% of CCGs now use pooled
Better Care Fund budgets, up from 38% last year), and that these improvements
lead to better patient outcomes for older people (including their chances of
returning home, improving their daily living activities, and reducing
loneliness and isolation).
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