patients with conditions covered by the mental health care clusters, the costs and activity should be included in the mental health care clusters in , otherwise the costs and activity should be reported here. Table 22 describes the currencies for intermediate care. Table : Intermediate care currencies Currency Setting Aim Period Activity measure Crisis Community based Assessment and Interventions for the Unit cost response services provided to short term majority of service per service services service users in their interventions to avoid users will last up to 48 user own home or a care hospital admission. hours or two working home. days. If longer interventions are provided the service should be included under home based intermediate care Home Community based Intermediate care Interventions for Unit cost services services provided to assessment and the majority of per care service users in their interventions service will contact own home or a care supporting admission last up to six weeks home. avoidance, faster (though there will be recovery from illness, individual exceptions). timely discharge from hospital and maximising independent living. Bed based Service is provided Prevention of Interventions for Unit cost services within an acute unnecessary the majority of per hospital, community hospital admissions service users will occupied hospital, residential and premature last up to six weeks bed day care home, nursing admissions to long (though there will be home, standalone term care and/or to Individual exceptions). intermediate care receive patients from facility, independent acute hospital sector facility, settings for local authority rehabilitation and to facility or other bed support timely basedsetting. discharge from hospital. currencies include: all admission avoidance schemes wherever their location, which should be included in crisis response (for example teams based in A&E department to identify patients for whom an admission could be avoided) early supported discharge in the home, which should be included in home based services, with the exception of condition specific schemes which are excluded as per paragraph 377(e) below. currencies exclude: NHS continuing healthcare and NHS-funded nursing care, eligibility for which might be considered after a patient has finished a period of intermediate care. Costs and activity should be excluded from reference costs against the “NHS
patients with conditions covered by the mental health care clusters, the costs and activity should be included in the mental health care clusters in , otherwise the costs and activity should be reported here. Table 22 describes the currencies for intermediate care. Table : Intermediate care currencies Currency Setting Aim Period Activity measure Crisis response services Community based services provided to service users in their own home or a care home. Assessment and short term interventions to avoid hospital admission. Interventions for the majority of service users will last up to 48 hours or two working days. If longer interventions are provided the service should be included under home based intermediate care Unit cost per service user Home services Community based services provided to service users in their own home or a care home. Intermediate care assessment and interventions supporting admission avoidance, faster recovery from illness, timely discharge from hospital and maximising independent living. Interventions for the majority of service will last up to six weeks (though there will be individual exceptions). Unit cost per care contact Bed based services Service is provided within an acute hospital, community hospital, residential care home, nursing home, standalone intermediate care facility, independent sector facility, local authority facility or other bed basedsetting. Prevention of unnecessary hospital admissions and premature admissions to long term care and/or to receive patients from acute hospital settings for rehabilitation and to support timely discharge from hospital. Interventions for the majority of service users will last up to six weeks (though there will be Individual exceptions). Unit cost per occupied bed day currencies include: all admission avoidance schemes wherever their location, which should be included in crisis response (for example teams based in A&E department to identify patients for whom an admission could be avoided) early supported discharge in the home, which should be included in home based services, with the exception of condition specific schemes which are excluded as per paragraph 377(e) below. currencies exclude: NHS continuing healthcare and NHS-funded nursing care, eligibility for which might be considered after a patient has finished a period of intermediate care. Costs and activity should be excluded from reference costs against the “NHS
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