Learn how a redesign of intermediate care services in Bolton reddressed the balance between bed and home based services, provided care 24 hours a day and allowed more service users to be supported in their own home, rather than in a hospital bed.
The approach of the Bolton Health & Wellbeing Strategy is to transform the current position of reactive care over time to proactive care to prevent hospital admissions and long term admissions to residential/nursing care through individual person-centred care planning. This paradigm shift was enabled through investing in prevention and earlier intervention, reducing demand for hospitalisation and more complex care, further enabling reinvestment. There design of intermediate care services was only one element of a wider integration project, supported by the Better Care Fund.
NHS Benchmarking Network Project Support
The NHS Benchmarking Network was commissioned by the Bolton health & social care economy to carry out a review of intermediate care provision with the aim of redesigning services, focused on improving service user/patient abilities, reducing the demand for long term care services and care homes.
The benchmarking demonstrated that if Bolton could re-balance the intermediate care system, with no additional investment, then an additional 305 people could be cared for at home, or go straight to home from hospital.