Community Adult
The Intermediate Tier Service
The Intermediate Tier Service comprises of a number of teams that will work together with the neighbourhood teams and the hospital. The teams aim is to prevent people needing acute medical care in the hospital, and supporting people in their homes if they do need hospital care. The services will have time limited interventions with people who require their help. They will work closely with all other services to keep people at home and able to manage their conditions.
The Intermediate Tier service comprises of:
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- Extensivists – Doctors working in the community. The aim of an extensive care service model is to work closely with people with long term conditions, complex needs, and those who are intensive users of the health and social care system.
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- Long Term Conditions team – This team comprises of Advanced Practitioners and Case Managers; Assistant Practitioners, Community IV Therapy, Continence, Macmillan, and Palliative Care. These are nursing teams comprising support workers and assistant practitioners.
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- District Nursing –This service provides a range of high quality clinical interventions for people in their own homes or community clinic settings. Working in partnership with specialist nursing teams, advanced practitioners, and GPs.
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- Community Beds – We have 96 community beds to help support people home from hospital and as a step up facility for those who need 24 hour care but do not require an acute bed.
Shire Hill Hospital and Stamford Intermediate Care Units
Care Together is our transformational approach to significantly improve the health and wellbeing of the 250,000 residents of Tameside and Glossop.
The programme comprises three key elements:
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- The establishment of a Single Commissioning Function will ensure that resources are aligned and distributed in a way that facilitates integration and most effectively meets needs.
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- The development of an Integrated Care Organisation will ensure that the traditional organisational silos and boundaries are eliminated.
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- The new model of care will drive forwards at pace and scale the changes that will support us to achieve our ambitions. This is in terms of improved outcomes for our population, and also for a financially and clinically sustainable health and care system.
The Home First
The Home First is one of the key areas of the new model of care which means that wherever it is possible for a
person to have their care requirements met within their home, the system will be responsive to meeting this need in a timely manner. When home is not immediately available for an individual, the Intermediate Care Unit’s beds will offer:
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- A ‘step down’ facility from hospital, with the capacity to assess (including complex assessments) and provide rehabilitation to individuals.
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- A ‘step up’ facility to support individuals from the community who have become unable to stay at home due to illness and/or the need for rehabilitation.
The purpose of the Intermediate Care Units is to provide an environment which is closer to home for individuals; they can continue rehabilitation at a time when they are medically stable to leave hospital, but when they are not ready to be discharged home. The units enable individuals to undergo rehabilitation and have all assessments required which will enable transfer to their final discharge destination, which is the most appropriate to meet their needs.
The Stamford Intermediate Care Unit is located at the Tameside Hospital site in Ashton under Lyne and the Shire Hill Hospital Intermediate Care Unit is located on the outskirts of Glossop in Derbyshire.
Stamford Unit – Discharge to assess
When home is not the default position for the provision of care for an individual, the community beds at Stamford Unit will offer:
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- ‘Step Down’ capacity for discharge to assess (including complex assessments) and individuals within the NHS Continuing Health Care pathway and processes.
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- Recuperation beds that provide an opportunity to re-stabilise before undertaking rehabilitation
The purpose of the Stamford Unit is to provide an environment which is closer to home. This enables individuals to be assessed following a hospital stay when discharge home cannot be progressed in a timely manner, when an individual is medically stable to leave hospital.
The unit enables the individual to recuperate and have all assessments required which will enable transfer to their final discharge destination, which is the most appropriate to meet assessed needs.
