The National Institute for Health and Care Excellence (NICE) has issued a quality standard which focusses on referral and assessment for intermediate care and deliverance of the service for adult patients. The areas covered in the quality standard include bed-based intermediate care, crisis response, home-based intermediate care and reablement. Rehabilitation for specific conditions is not in the scope of the quality standard.
The key goals of the quality standard are improvements in the following areas:
- Health-related and social care-related QoL;
- Carer QoL;
- Independence, choice and control over daily life;
- Length of hospital stay and hospital readmissions;
- Delayed transfer of care from hospital;
- Admissions to residential care.
The quality standard covers the following 4 recommendations:
- Individuals being evaluated for intermediate care should discuss the support the service will and will not provide.
- Individuals accepted for bed-based intermediate care should start the service within 2 days of referral.
- Individuals initiating intermediate care should have a discussion and agreement on personalised goals.
- Individuals utilising intermediate care services should have a discussion and agreement on a transition plan following the end of their support.
Health professionals should also take into consideration the quality standards on ‘People's experience using adult social care services’, ‘Multimorbidity’, ‘Transition between inpatient hospital settings and community or care home settings for adults with social care needs’, ‘Social care for older people with multiple long-term conditions’, and ‘Home care for older people’ when providing services for intermediate care.