Enhanced intermediate care and rehabilitation care

The pan-Ayrshire model for Enhanced Intermediate Care and Rehabilitation, provides high quality care and support through early intervention and preventative action. The aim is to help prevent older people and people with complex needs becoming unwell in the first place or supporting them to manage their conditions more effectively at home or a homely environment.

This new way of working will offer a faster, more co-ordinated response to deterioration/crisis by preventing unnecessary acute hospital admission and where possible supporting people’s recovery at home or a homely environment. This will:

  • smooth the flow of people requiring hospital bed-based care
  • improve the flow of people home from hospital (particularly over the weekend period)
  • enable more people to remain at home
  • ensure the provision of high quality care delivered by the right person, at the right time in the right place

Intermediate care and rehabilitation hubs will provide a single point of access, with screening and clinical triage, ensuring the person is seen by the right service, first time. The hubs will operate 8.30am–5pm, 7 days per week.

Staff will support people at different stages of their recovery journey and people will be linked into existing intermediate care and rehabilitation services. This will reduce duplication and fragmentation of services across Ayrshire and Arran.

The enablers for this new way of caring for people will include, Technology Enabled Care (TEC) and locality based multi-disciplinary teams.