Intermediate and Continuing Care (eBook)

Policy and Practice

Roger Beech, Brenda Roe (Herausgeber)

eBook Download: PDF
2008 | 1. Auflage
296 Seiten
Wiley (Verlag)
978-0-470-77755-8 (ISBN)

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Intermediate care comprises strategies which allow early discharge from acute care, prevent admission or re-admission to acute care and avoid bed-blocking in both acute and long-term residential care. It encompasses a range of short-term options including rapid response, hospital at home, residential rehabilitation, supported discharge and day rehabilitation. Continuing Care is delivered on a long-term basis in a variety of settings and often includes an element of rehabilitation.

Although these two types of care have distinct objectives, they are interrelated as changes in the supply of one type of care may affect demands for the other. In addition, from a patient perspective, intermediate and continuing care might be seen as part of the continuum of care options that are supplied to meet their needs. This book argues for consideration of intermediate and continuing care as part of the care continuum that provides integrated care adopting whole system approaches.

This edited volume explores policy, practice and current issues in intermediate and continuing care. It will be of interest to allhealth and social care professionals involved in the provision and planning of care for older people. It falls in three parts: intermediate care, continuing care, and a shorter section on patient and public involvement and future directions.



Brenda Roe is on the Editorial board of JAN. She is Senior lecturer in Social Gerontology , Centre for Geriatric Medicine, Keele University and Non-executive Director, North Cheshire Hospitals NHS Trust.

Roger Beech is Senior Lecturer in Health Operational Research, Centre for Health Planning and Management, Keele University and Academic Lead for Research, Central Cheshire Primary Care Trust


Intermediate care comprises strategies which allow early discharge from acute care, prevent admission or re-admission to acute care and avoid bed-blocking in both acute and long-term residential care. It encompasses a range of short-term options including rapid response, hospital at home, residential rehabilitation, supported discharge and day rehabilitation. Continuing Care is delivered on a long-term basis in a variety of settings and often includes an element of rehabilitation. Although these two types of care have distinct objectives, they are interrelated as changes in the supply of one type of care may affect demands for the other. In addition, from a patient perspective, intermediate and continuing care might be seen as part of the continuum of care options that are supplied to meet their needs. This book argues for consideration of intermediate and continuing care as part of the care continuum that provides integrated care adopting whole system approaches. This edited volume explores policy, practice and current issues in intermediate and continuing care. It will be of interest to allhealth and social care professionals involved in the provision and planning of care for older people. It falls in three parts: intermediate care, continuing care, and a shorter section on patient and public involvement and future directions.

Brenda Roe is on the Editorial board of JAN. She is Senior lecturer in Social Gerontology , Centre for Geriatric Medicine, Keele University and Non-executive Director, North Cheshire Hospitals NHS Trust. Roger Beech is Senior Lecturer in Health Operational Research, Centre for Health Planning and Management, Keele University and Academic Lead for Research, Central Cheshire Primary Care Trust

Contents 7
Foreword 9
Introduction 11
Contributors 15
Part 1: Intermediate Care 21
1 Intermediate Care: Policy and Context 23
2 Identifying the Need and Scope for Intermediate Care 39
3 Management and Planning of Services 53
4 Coordinating Intermediate Care 70
5 Service Development and Evaluation in Intermediate Care 81
6 Interdisciplinary Working in Intermediate Care: Generic Working or the Key to a Person Centred Approach? 98
7 Interdisciplinary Training and Development 115
8 Evidence on the Effectiveness of Intermediate Care 126
9 Economic Evaluation of Intermediate Care 139
Part 2: Continuing Care 157
10 Continuing Care: Policy and Context 159
11 Community Care: Service Delivery, Development and Evaluation 175
12 Alternative Housing and Care Arrangements: The Evidence 203
13 Care Homes and Continuing Care 224
14 Interdisciplinary Working and Education in Continuing Care 242
Part 3: Involvement of Carers and Consumers 255
15 Carers and Caregiving in the Context of Intermediate and Continuing Care 257
16 Patient and Public Involvement in Service Design and Evaluation 269
17 Implications for Policy and Practice: The Future 279
Index 291

'a comprehensive review of the often neglected and under-researched
areas of intermediate and continuing care. It uses a whole-system
approach and draws on the existing evidence base and the authors'
personal experiences.'

Nursing Standard

Erscheint lt. Verlag 15.4.2008
Sprache englisch
Themenwelt Medizin / Pharmazie Gesundheitswesen
Medizin / Pharmazie Medizinische Fachgebiete Geriatrie
Medizin / Pharmazie Pflege Altenpflege
Pflege Fachpflege Neurologie / Psychiatrie
Schlagworte Altenpflege • Ausbildung u. Perspektiven i. d. Krankenpflege • Krankenpflege • nursing • Nursing Education & Professional Development • Nursing Older People
ISBN-10 0-470-77755-9 / 0470777559
ISBN-13 978-0-470-77755-8 / 9780470777558
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