In 2011 the Scottish Government published the document, The Reshaping Care for Older People: A Programme for Change 2011-2021. It outlined the policy goal of “optimise the independence and wellbeing of older people at home, or in a homely setting. This will involve a substantial shift in focus of care from institutional setting to care at home – because it is what people want and provides better value for money.”
The Health and Social Care delivery plan of December 2016 set a target to reduce unscheduled bed-days in hospital care by up to 10 percent (i.e. by as many as 400,000 bed-days), by reducing delayed discharges, avoidable admissions and inappropriately long stays in hospital.
Intermediate Care services offer alternatives to emergency inpatient admission and deliver person centred outcomes for people whilst improving whole systems flow.
WebEx Series 2018
The programme is running a series of evaluation WebExes in 2018.
The work of Living Well in Communities to improve the effectiveness of intermediate care services is focused on three types of activities:
- Sharing knowledge on models of intermediate care services. Creating an infrastructure for health and social care organisations to learn about the models of intermediate care services throughout Scotland, so that this knowledge can inform the design and redesign of services.
- Evaluating impact of intermediate care services. Training health and social care organisations in evaluation methodology to enable the effectiveness of services to be evaluated, and the learning from evaluation to inform future design and redesign.
- Improving existing services. Providing continuous quality improvement (CQI) support to a small number of intermediate care services that play a role in the discharge of people from hospital back to the community. The learning from the CQI support will be shared through the evaluation training and knowledge-sharing activities.
In response to the requests received from HSCPs, Healthcare Improvement Scotland will offer support in the following areas:
- Connect services and share knowledge on models of intermediate care services to inform the design and redesign of service models;
- Train people who plan and deliver intermediate care services in evaluation methodology so that the impact of services can be evaluated; and
- Provide improvement support to optimise existing intermediate care services for a small number of HSCPs.
NHS boards and Health and Social Care Partnerships.
Benefits of programme
To optimise the independence and wellbeing of older people at home, or in a homely setting.