Pathway 3 Beds for Hospital Discharge

Description

Somerset Intermediate Care Service is looking to open a test and learn pilot to help us look at new approaches for commissioning our Pathway 3 beds. Hospital discharge is the final stage in an individual's journey through hospital following the completion of their acute medical care, when they leave an acute setting and move to an environment best suited to meet any ongoing health and care needs they may have. This can range from going home with little or no additional care (simple discharge), to a short-term package of home-based or bed-based care and recovery support in the community, pending assessment of any longer-term care needs. Whether at home or in a community setting, individuals should be discharged to the best place for them to continue recovery (if needed) in a safe, appropriate and timely way. Other than in exceptional circumstances, no one should be discharged directly into a permanent care home placement for the first time without first giving them an opportunity to recover in a temporary placement before assessing their long-term needs. People do not have the legislative right to remain in a hospital bed if they no longer require care in that setting, including to wait for their preferred option to become available. Those on the discharge to assess pathway should be discharged to a temporary care home placement for an assessment of long-term or ongoing needs, after which the decision about their permanent care home placement should be made. In Somerset we work with both our community hospitals and a small number of care homes who provide short term reablement and recovery before assessing long term needs. However, there are a small number of people who are in hospital with long term needs where a seamless care journey is best, and should be discharged to the right place, at the right time, and with the right support that can meet their long term needs. We call this discharge option Pathway 3. This is a very small cohort of people who are considered as needing a new long term placement upon discharge from hospital and are likely to not return to their normal place of residence due to the level of long term needs. Lot 1: We want to test a spot purchased option for this group of people, where we can ensure, as much as possible, that we help them into the right bed that will meet their long term needs out of hospital as well as an assessment for their longer term support. Are you interested and want to know more? We are looking for providers who would like to help shape our pathway 3 services and who would like to be involved in our 6 week Pilot for discharges from Yeovil District Hospital. We hope to roll out in December 2024. You will need to: • Be CQC registered in Somerset. • Work closely with our Transfer of Care Hubs and RCPA Trusted Assessors. • Share your vacancies daily. • Support a hospital discharge within 5 days. • Accept Local Authority rates for the initial discharge and long term for those discharged who meet the LA criteria for funding. o Residential £774, Nursing £800 (+FNC during P3 period), Dementia Residential £825.60, OPMH Nursing £1,083.60 (+FNC during P3 period) Organisations that take part will not be advantaged or disadvantaged in any way in any potential future formal procurement. Commercial confidentiality will be respected. This Notice does not represent a formal commitment by Somerset Council to undertake a procurement procedure and there is no guarantee of ongoing work for any organisations that are involved in the 6 week Pilot. Additional information: If your home is interested in working with us on this Pilot please contact james.sangster@somerset.gov.uk by 10th November 2024 to discuss further or respond to the following questions via email (to the same address) to register your interest by 10th November 2024. Questions requiring a response in order to register interest: Name of Home Bed types available in your home (Residential, Dementia Residential, Nursing, OPMH Nursing) Agree to accept Somerset Council rate - YES/ NO Agree to Somerset Council's Terms and Conditions for care home placements - YES/ NO Provide a named Key Contact for Pathway 3 beds Signature