Intermediate and Rehabilitation Care

Intermediate Care

Intermediate Care services are provided to help people recuperate and regain their independence following illness or injury, a stay in hospital, or to prevent hospital admission.

Enfield’s Intermediate Care Team is a partnership between Health and Social Care staff, and can provide intensive support to people when they need it most, to enable a safe and speedy return home from hospital and to help them stay out of hospital.

The service is suitable if you have an acute illness and do not require all the services of a hospital bed, but do need short-term nursing, therapy and care support to help you to recover and regain your independence.

If you are about to be discharged from hospital, a hospital social worker will visit you on the ward to provide advice on how to cope with your illness or disability, or to organise the provision of aids and equipment to help in everyday tasks. She will assess your care needs and make a referral on your behalf to the Intermediate Cre Team.

Your GP, social worker, district nurse or another health professional can also refer you for Intermediate Care Services.

Once you have been referred to the service, a member of the Intermediate Care Team will assess your health and social needs, and any associated risks to your independence, and will develop a Care Plan for you. It is important that you work towards the plan that we agree with you to help you recover and gain your independence.

What type of support can be provided?

Based on your Care Plan, you may receive any of the following services:

• Nursing Care
• Physiotherapy
• Occupational therapy
• Social work support
• Home Care support

Your GP or the Intermediate Care Registrar will provide medical support.

Where can I receive Intermediate Care Services?

In your own home

The preferred option is always to provide intermediate care services in your own home, to help you regain your independence in a familiar environment.
If you are going to find it difficult to open the door, we can arrange for a temporary key safe to be fitted outsite your home.
If, however, you need to be in a supported environment for a short period, intermediate care services can also be provided away from your home.

Reardon Court

Reardon Court provides short-term rehabilitative care for individuals who need to regain their confidence and daily living skills in a supported environment.

Magnolia Unit

The Magnolia Unit provides more intensive rehabilitative support for individuals who also have medical needs.

How long will I receive Intermediate Care Services?

You will receive regular reviews by your social worker who will decide when you have received maximum benefit from the service. This is usually 2-3 weeks, but can vary according to individual recovery.

People with Chronic Obstructive Pulmonary Disease will continue to be monitored at home by the Intermediate Care Team in order to prevent readmission to hospital.
The NHS will pay for your care whilst you recuperate and until you have obtained maximum benefit from the service. If your social worker decides that you need longer-term care, you may be charged for your services from the time this decision is made.

Eligibility

You will need to be referred to the service by:

    • Your doctor/GP
    • District nurse or other health professionals
    • Social worker or care manager
    • Any hospital team.

Services are arranged following a Needs Assessment. Because we have to make sure that services are provided fairly and to those most in need, we use eligibility criteria to help us make decisions about who we can provide services to.

Required Customer Information

Date of birth, proof of address and identification documents are required prior to needs assessment.

Service Level Agreement and Turnaround

Needs Assessments are completed on the ward within 3 days of referral. Services to be provided should be available within 24 hours of confirmation of discharge date.

More information about this service

Contact Us

Frequently Asked Questions

Address:
Intermediate Care Team
St Michael’s Primary Care Centre
Pine Lodge, Gater Drive
Enfield EN2 0JB
Map

For social work or home care
Telephone: 020 8379 1083 or 020 8379 1084
Fax: 020 8379 1082

For therapy and nursing support
Telephone: 020 8342 2166
Fax: 020 8363 9357

Telephone:
020 8379 1000

Fax:
020 8379 6458

Opening Hours:
Monday to Friday, 8.30am - 5pm

Useful Links

Help from Hospital
Home Care
Home Meals
Occupational Therapy
Support after leaving hospital

This document was last updated on 2008-12-02 11:21:57 published by the team. Document Reference:LBE_122474