National Audit of Intermediate Care
NHS England, the Welsh Government and the Northern Ireland Public Health Agency / Health & Social Care Board are funded NAIC 2018. Commissioners and Providers of intermediate care services in England, Wales and Northern Ireland could participate free of charge.
The National Audit of Intermediate Care was included on the 2018/19 Quality Accounts list. More information is available about legislation regarding the HQIP quality accounts and the statutory and mandatory requirements for Clinical Audit via the Key Resources page.
As in previous iterations of the NAIC, the audit had commissioner and provider organisational level components. The NAIC collected data from providers for the following four intermediate care service categories; crisis response, home based intermediate care, bed based intermediate care and re-ablement services.
Background to the NAIC
The National Audit of Intermediate Care was launched in November 2011 as a partnership project between the British Geriatrics Society, the Association of Directors of Adult Social Services, AGILE, the Royal College of Occupational Therapists, the Royal College of Physicians (London), the Royal College of Nursing and the NHS Benchmarking Network. The Patient’s Association and The Royal College of Speech and Language Therapists became partners in 2013.
To meet the challenge of an ageing population, we need to understand how best to support older people at vulnerable times; particularly when they are at risk of hospital admission or being discharged from hospital. Intermediate Care provides alternative, community based services to better meet the needs of older people and enable more efficient patient flows through the health and social care system.
The National Audit of Intermediate Care aims to take a whole system view of the effectiveness of intermediate care, to develop quality standards and patient outcome measures and to assess local performance against the agreed, national standards. Identification of potential productivity gains in intermediate care and linked potential cost savings in secondary care are key outputs of the project. The NAIC reports were welcomed by the Department of Health and NHS England as an important contribution to our understanding of how intermediate care services have developed nationally.
The Network is undertaking a piece of research to identify key features of high performing intermediate care services. The Positive Deviance methodology looks at services who demonstrate exceptional performance in a particular area, despite facing the same constraints as others.
The NAIC data set is unique in that is collects a standardised clinical outcome measure as well as a full organisational level data set. Therefore, standardised clinical outcome measures collected via the service user audit element of NAIC are being used to identify these positively deviant teams and generate hypotheses about characteristics of high performing teams.
Workshops to disseminate the findings of this work will be held in 2019.
Northern Ireland: 1st March 2019 (attendance by invitation)
We cannot confirm that the National Audit of Intermediate Care (NAIC) 2019 will be running this year as NHS England have yet to confirm funding (England only). We will keep you posted of any developments in this area.
NICE quality standard
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