Ealing Integrated Intermediate Care Service

Tender description

NHS Ealing CCG, working with Ealing Council, is seeking expressions of interest from suitably qualified and experienced healthcare providers who would like to be considered for the provision of a new Integrated Intermediate Care Service (EIICS) for the patients of Ealing. EIICS will replace the current Intermediate Care service in Ealing from 1 Oct 2015 The key aim of EIICS will be to provide a rapid, more responsive service that maximises admission avoidance and supports early discharge through managing a wide range of patients in a sub-acute phase in which they may need more than what GPs and core community services can currently offer, but do need not an acute hospital bed. The CCG will commission and hold accountable the lead provider for the delivery of the services with the expectation that they will partner and/or subcontract with other providers as required in order to deliver a safe clinical service and the outcomes that have been specified. The emphasis will be on providers working together to manage Ealing patients out of the acute setting; wherever those patients present e.g. in their own home, A&E’s across NWL, Ealing Hospital etc. GPs and other referrers will have the confidence that the service can make effective decisions about care and be able to respond rapidly where this is required both to avoid an admission and ensure early supported discharge is effective. This culture of working will be supported by strong clinical governance arrangements between partner organisations and in the numerous interfaces between this service and others in the local health and social care economy. Proactive and innovative clinical leadership will underpin the service. EIICS Key Components: (1) A single point to which all referrals for urgent escalation, particularly to avoid hospital admission avoidance, and for specific help in discharge can be made. This will include a consultant-led approach to clinical triage to support pathways from acute to community and vice versa (2) A service that rapidly assesses and responds to urgent need. Care will largely be delivered in patient's homes, but there will also be a need for the provider to deliver step-up community beds for those sub-acute patients who cannot be looked after in their homes. The provider will need to ensure they have a team, or the ability to work with provider in reach teams, to ensure all Ealing patients presenting at acute trusts are cared outside of the acute setting (mainly anticipated to be Imperial Sites, LNWHT Sites, West Middlesex and Hillingdon Hospitals) (3) A service that supports early discharge from hospitals where Ealing patients have been receiving care (mainly anticipated to be Imperial Sites, LNWHT Sites, West Middlesex and Hillingdon Hospitals) (4) A connected service that integrates reablement and outcome focused, time-bound rehabilitation over a short period, enabling patients to regain independence and social integration effectively and efficiently