2. Definition – Intermediate Care
> “Umbrella” term
> Describes an approach involving a
range of services working to
common aims and principles.
> Supports recovery, mostly home
based, at times of crisis.
3. Intermediate Care Demonstrators
> December 2008 – bids invited
> National priorities of dementia, 7 day
access, staff training and
development, pharmacy and
reduced delayed discharges
4. The Art of the “Inbetween”
> Intentional design of something we
could not easily describe
> All areas were working on this
> Evidence increasing but more
required
5. The process
> Invitations to bid - Dec 2008
> Short turnaround eliminated many
> The enthusiasts prepared their bids
> Partnership sign off essential
> Selection procedure at JIT
6. The Sites selected – 5 + Orkney
> Ensured some overlap in topics to
increase potential for learning
> All key priority areas were covered
> Support from the JIT given at start
and throughout the project.
7. Intentional Design – starting well
> Talking Points
> Evaluation and data collection
> Meeting other Leads
> Tools available to help
> JIT Support
9. Pharmacy
> Need to “join up the parts” and
ensure community pharmacy is
linked to Intermediate Care
> Learning used as Fife service
extends to include Hospital at Home
10. Workforce Development
> Training needs analysis
> Dialogue re culture and identity
> Invest in sustainable way at all levels
> Know your gaps and flex resource to
meet needs that can deliver change
11. Extended Access
> Understand pattern of demand
> Work with staff to get best use of
time and skills
> Cost less than we thought
> Sustainability
12. Outcomes
> Workforce prepared to deliver the
emerging model.
> Network emerging across Scotland
> Provided strong platform for future
> Learning informing Reshaping Care
13. Experience and learning
> Set up a Board and project structure
> Get a plan together
> Involve enthusiastic players
> Delegate the parts
> Stay focussed but flexible
14. Cont…
> Intentional investment
> Use JIT tools and support offered
> Get the original bid right – otherwise
path will be rough!
> Plan the celebrations, the
communication and next steps.