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Intermediate Care:
The Evidence Base?
Graham Ellis
National clinical Lead for Older People and Frailty
Jeremy
Clarkson's
Tool Box
–Henry Ford
“You can have any colour as long as it's black.”
Acuity
Pre Admission Post Discharge
Acute Admission
Pre Admission Post Discharge
Acute Admission
Acuity
Pre Admission Post Discharge
Acute Admission
Pre Admission Post Discharge
Acute Admission
Step Up
beds
Step Down
beds
Assessment
/Day
Hospital
Pre Admission Post Discharge
Acute Admission
Step Up
beds
Step Down
beds
Assessment
/Day
Hospital
1++1++
2+
Admission
Avoidance
H@H
Pre Admission
Acute Admission
Community
Rehabilitation
Care/Case
Management
Screening
and Early
Intervention
Admission
Avoidance
H@H
Pre Admission
Acute Admission
Community
Rehabilitation
Care/Case
Management
Screening
and Early
Intervention
1+
2+
1++
1++
Discharge to
Assess/Hom
e First
Post Discharge
Acute Admission
Early
Supported
Discharge
Re-ablement
Community
Rehabilitation
Discharge to
Assess/Hom
e First
Post Discharge
Early
Supported
Discharge
Re-ablement
Community
Rehabilitation
1++
1++
3+
3+
Intermediate
Care Enablers
• Risk prediction tools
Intermediate
Care Enablers
• Risk prediction tools
• Single point of access
Intermediate
Care Enablers
• Risk prediction tools
• Single point of access
• Information Management (and
technology)
Intermediate
Care Enablers
• Risk prediction tools
• Single point of access
• Information Management (and
technology)
• Workforce development
Intermediate
Care Enablers
• Risk prediction tools
• Single point of access
• Information Management (and
technology)
• Workforce development
• Shared Budgets
Intermediate
Care Enablers
• Risk prediction tools
• Single point of access
• Information Management (and
technology)
• Workforce development
• Shared Budgets
• Measurement
Intermediate
Care Enablers
• Risk prediction tools
• Single point of access
• Information Management (and
technology)
• Workforce development
• Shared Budgets
• Measurement
• Anticipatory Care Planning
A National Day of Care Audit?

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Intermediate Care Evidence Base