Spotlight on intermediate care, Newcastle

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Summary of report content

One of Healthwatch Newcastle’s research priority areas for 2016―17. Intermediate care services can either be home based (where care is provided in a person’s own home by health and/or social care professionals) or residential (where care is provided in a care home or community hospital, again by health and/or social care professionals). These services offer people with increasingly complex care needs an alternative care response to lengthy and costly hospital admissions. Newcastle health and social care partners (Newcastle City Council, Newcastle Upon Tyne Hospitals NHS Foundation Trust, NHS Newcastle Gateshead Clinical Commissioning Group and Northumberland Tyne and Wear NHS Foundation Trust) currently in the process of reviewing intermediate care. The aim: to develop an intermediate care model that better reflects the needs of the local population and ensures a rapid service user assessment and appropriate care. 10 people interviewed in receipt of home based care and 19 people of residential care (10 from Connie Lewcock and 9 from Eden Court). Survey was a semi structured interview designed to find out the specific service user’s experience of services and lasted between 15—45 minutes. All participants were over 70 years of age, except two aged between 60 and 70. 19 participants were female and 10 male. All participants, except one, were white British and the majority were what would usually be termed ‘middle class’ (over 80%). The survey data may not be a true reflection of the views of all people in receipt of intermediate care services in Newcastle but it does represent the views of those 29 people who completed the survey. Recommendations: • Encourage service providers and the Intermediate Care Steering Group, to consider this report and incorporate the recommendations into the current service review and any ongoing service developments. • Primary and Secondary care services to ensure patients and/or their families are involved in the decision to refer to intermediate care services. • Intermediate care services to be more widely publicised. • Information available to patients and their families prior to them receiving the service both verbally and in written format. • Service providers to be mindful of issues especially at transitional points to access and move on from intermediate care services. • Carers need to provide better information about follow on services and manage expectations about the home care service.

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General details

Report title 
Spotlight on intermediate care, Newcastle
Local Healthwatch 
Healthwatch Newcastle Upon Tyne
Date of publication 
Saturday, 11 November, 2017
Date evidence capture began 
Saturday, 11 November, 2017
Date evidence capture finished 
Saturday, 11 November, 2017
Type of report 
Report
Service evaluation
Key themes 
Communication between staff and patients
Cost of services
Quality of care
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Support
Healthwatch reference number 
Rep-6628

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Structured interview
Survey
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Care of the elderly
Social care services 
Adult social care
After care
Assessment
Day care (social care services)
Home care / domiciliary care
Residential care home

Details about conditions and diseases

Types of long term conditions 
Not known

Details of people who shared their views

Number of people who shared their views 
29
Age group 
65-85 years
Gender 
All
Ethnicity 
White
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
No
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.