Intermediate care delivered in hospital Sample Clauses

Intermediate care delivered in hospital. The use of hospital beds for post-acute care has been analysed in detail as part of this work. Providing alternatives to this part of the system is a key area for investment and therefore re-balancing of care over coming years. Great care will be needed to ensure that new services are in place in the community, whether at home or in alternative bed based services, before hospital beds are reduced, but this shift in care and therefore resource is a key ingredient of the future model of service. Appendix 1 outlines some of the consequences of this new service model for the acute sector. Optimised level: 100% of post-acute care (across all hospital sites) and step up hospital activity that is suitable for domiciliary intermediate care is delivered at home rather than in a hospital bed. Current levels of post-acute episodes of care in hospital are shown in Table 10. Baseline new post- acute stays (unsched adm’n) pw Baseline unsched admissions pw Baseline IC post ac stays: % of unsched adm’ns Target IC post ac stays: % of unsched adm’ns Distance from target Baseline new scheduled PA stays pw* Baseline step up admissions pw Bridgend 11.8 69.3 3.4% 0 +3.4% 2.0 0.3 NPT 21.2 73.2 5.8% 0 +5.8% 9.7 6.3 Swansea 15.6 128.0 2.4% 0 +2.4% 2.3 0.3 Table 10 Assumptions for post-acute activity suitable for intermediate care Table 10 assumes that: • 20% of baseline post-acute care and step up community hospital admissions would be suitable for intermediate care, which is an estimate based on local intelligence from CRT operational managers. • * The split of new scheduled PA activity by locality is an estimate, matching the split of new unscheduled PA activity