title: Intermediate care for older people in the U.K.
abstract: Intermediate care (IC) has been government policy for implementation in the U.K. for almost 10 years. It was hoped that it would help free up acute hospital resources. However, admission rates continue to rise and are rising fastest in those over the age of 75. Many different models of IC have been tried. Typically, outcomes are very similar to traditional hospital care and they tend to be met with high patient satisfaction. Yet there is no evidence that they reduce acute hospital use or that they are cost efficient. Maybe it is time to rethink our national strategy on this issue?
authors.affiliation: Cumberland Infirmary, Carlisle, Cumbria. henry.woodford@ncumbria-acute.nhs.uk
authors.forename: Henry J
authors.initials: HJ
authors.lastname: Woodford
authors.forename: James
authors.initials: J
authors.lastname: George
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management; D018575:Home Care Services, Hospital-Based; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007380:Intermediate Care Facilities; D009313:National Health Programs / Q000458:organization & administration*; D012112:Residential Facilities; D006113:United Kingdom