PRJ1118 - Intermediate Care Beds - Lewisham - SEL CCG

NHS South East London ICB is seeking to commission Intermediate Care Beds services on behalf of NHS South East London ICB. Intermediate care is a short-term intervention to preserve the independence of people who might otherwise face unnecessarily prolonged hospital stays or inappropriate admission to hospital or residential care.

The key aims of the service is to provide a bed based offer that enables the delivery of a safe and responsive rehabilitation, reablement and recovery service that supports people to regain independence post hospital discharge or following step up from the community.

To ensure the timely movement of people through the service appropriate to their rehabilitation needs in line with the agreed therapeutic plans.

That high level nursing with care support is delivered at all times and maintains a ‘good’ from CQC.

The objectives of the service will be to deliver a 20 community bed service for patients requiring step down from hospital or step up from the community in line with the following service aims:

• Promote independence and improve outcomes for people recovering from illness, injury or trauma by supporting individualised treatment to enable them to re-gain sufficient physical functioning and confidence to return safely to their own home.

• Provide a short-term (up to 4 weeks with a maximum of 6 weeks) rehabilitation service in a homely environment. This is for patients no longer requiring an acute hospital bed but requiring a further period of therapy that cannot be delivered in their own home. This will enable them to return home at or near preadmission baseline.

• Accept admissions to all rooms 7 days a week including Bank Holidays.

• Have a maximum 24 hour turnaround for accepting referrals or raising concerns as appropriate.

• Accept a wide range of levels of complexity at point of admission. These will include;

• patients requiring double handed care
• and / or with bariatric support needs
• patients with tracheotomies but who can mainly manage their own care regime
• patients using CPAP machines
• patients on enteral feed / Nasal Gastric tube feeding
• patients with post-surgical drains.

This list is not exhaustive and complex cases at point of admission will be assessed on their merits and probability of enablement goals.