Success factors for step up step down care
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Success Factors for “Step up Step down” care…. Intermediate Care Between hospital and home A range of options and facilities Rehab focused++ Goal orientated Client centered Maximum of 6 week intervention. Challenges for “Step up step down” care ….

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Success Factors for “Step up Step down” care…

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Success Factors for “Step up Step down” care…

Intermediate Care

Between hospital and home

A range of options and facilities

Rehab focused++

Goal orientated

Client centered

Maximum of 6 week intervention


Challenges for “Step up step down” care …..

Total admissions May 2008 – December 2012 = 390

Waverley opened May 2008 = 268

Grove opened May 2011 = 81

Saltgreens opened January 2012 = 31

St Ronans opened October 2012 = 10

Deanfield planned for 2014


Admission Reasons

Facilitate hospital discharge 285

Prevent hospital admission 78

Prevent care home admission 1

Inappropriate referral/unknown 46


Who can admit someone?

Social Work staff (must be allocated client / actively involved)

GP’s via the Hub or START Team

DN’s via the Hub or START Team

START Team

BGH – SW, AHP & Nursing staff

Community Healthcare teams

Other SW and NHS staff out with the area


Discussion

How to set up

How to manage process

What works well

What is a challenge


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