The second national audit of intermediate care.
Intermediate care services have developed internationally to expedite discharge from hospital and to provide an alternative to an emergency hospital admission. Inconsistencies in the evidence base and under-developed governance structures led to concerns about the care quality, outcomes and provision of intermediate care in the NHS. The National Audit of Intermediate Care was therefore established by an interdisciplinary group. The second national audit reported in 2013 and included crisis response teams, home-based and bed-based services in approximately a half of the NHS. The main findings were evidence of weak local strategic planning, considerable under-provision, delays in accessing the services and lack of mental health involvement in care. There was a very high level of positive patient experience reported across all types of intermediate care, though reported involvement with care decisions was less satisfactory.
Academic Unit of Elderly Care and Rehabilitation, Bradford Institute for Health Research, Bradford, West Yorkshire, UK.
John
J
Young
Division of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
John R F
JR
Gladman
Department of Medicine for the Elderly, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK.
Duncan R
DR
Forsyth
NHS Benchmarking Network, Manchester, UK.
Claire
C
Holditch
D019033:Delivery of Health Care, Integrated / Q000458:organization & administration / Q000592:standards*; D006301:Health Services Needs and Demand / Q000592:standards; D006299:Health Services for the Aged / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D007380:Intermediate Care Facilities / Q000458:organization & administration / Q000592:standards*; D008485:Medical Audit; D017146:Models, Organizational; D020380:Needs Assessment; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration / Q000592:standards*; D017060:Patient Satisfaction; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D013222:State Medicine / Q000458:organization & administration / Q000592:standards*; D006113:United Kingdom
intermediate care; national audit; older people