Recovering from illness

Intermediate Care Services in Middlesbrough provide a range of services designed to bridge the gap between primary/community care and hospital services.

It is for people who need rehabilitation services, enabling them to reach a level of independence that would not be possible otherwise.

Intermediate Care Services in Middlesbrough support adults by:

• Preventing avoidable admissions to hospital or long-term care
• Assisting the safe and prompt discharge from hospital
• Promoting independent living and rehabilitation

To access the services provided you must be:

• A resident of Middlesbrough
• 18 and over
• Willing to take part in rehabilitation services and willing to consent to referral

Our services involve professionals from different agencies working together to prevent avoidable hospital admissions and to assist in the transition from hospital to home and from medical dependence to independence.

The services provided are:

Rapid Response:

• An intensive home care service provided as part of reablement.
• It prevents unnecessary admission to hospital or residential care
• Gives access to the Care Link community alarm service for up to six weeks
• Gives access to the reablement service
• No charge for ten days

Reablement:

• Reduces dependency of long term care or ongoing packages of care.
• Complements existing intermediate care services by helping users remain independent, for example: washing, dressing, meal preparation, confidence building with accessing public transport etc.
• Nil charge for up to six weeks

Mobile Rehabilitation Team:

The team provides a home-based rehabilitation service to adult residents in Middlesbrough (who are usually unable to attend outpatient appointments).

They will undertake an assessment and once rehabilitation needs have been agreed regular visits will be made to work on an agreed treatment plan.

They aim to:

• Support you at home on discharge from hospital
• Prevent admission to hospital.
• No charge for up to six weeks

Residential Rehabilitation:

• Provides you with an assessment undertaken by appropriate professionals (occupational therapist, physiotherapist and where required social worker) within a residential setting.
• Provides you with a safe and supported environment twenty-four hours a day if you are not able to return home with support of any other intermediate care service.
• No charge for up to six weeks

Our services can be accessed through a referral being made by:

• GP or Consultant
• Occupational Therapists and Physiotherapists
• Ward Nurse or District Nurse
• Social Workers
• Warden Services
• Discharge Liaison Team

Other Community Services

The Community Neurological Rehabilitation Team works with adults between 18-65 with long term neurological conditions. They can support you to remain in or to return to a productive role, whether at home, in education or training, or voluntary or paid employment. Referrals are taken from health and social care professionals as above.

The GP Open Access Occupational Therapy and Physiotherapy Services enable your GP to refer you directly to occupational therapists and physiotherapists who will visit you at home to deal with short term problems, such as poor mobility or difficulty carrying out aspects of your daily routine such as personal care or domestic activities. Some more specialist treatments such as hand splints are also provided.