PRJ1118 - Intermediate Care Beds - Lewisham - SEL CCG

The key aims of the service is to provide a bed based offer that enables the delivery of a safe and responsive rehabilitation, reablement and recovery service that supports people to regain independence post hospital discharge or following step up from the community. To ensure the timely movement of people through the service appropriate to their rehabilitation needs in

line with the agreed therapeutic plans. That high level nursing with care support is delivered at all times and maintains a ‘good’ from CQC.

The objectives of the Service will be to deliver a 20 community bed service for patients requiring step down from hospital or step up from the community in line with the following service aims:

• Promote independence and improve outcomes for people recovering from illness, injury or

trauma by supporting individualised treatment to enable them to re-gain sufficient physical

functioning and confidence to return safely to their own home.

• Provide a short-term (up to 4 weeks with a maximum of 6 weeks) rehabilitation service in a

homely environment. This is for patients no longer requiring an acute hospital bed but requiring a

further period of therapy that cannot be delivered in their own home. This will enable them to

return home at or near preadmission baseline.

• Accept admissions to all rooms 7 days a week including Bank Holidays.
• Have a maximum 24 hour turnaround for accepting referrals or raising concerns as appropriate
• Accept a wide range of levels of complexity at point of admission. These will include;
• patients requiring double handed care
• and / or with bariatric support needs
• patients with tracheotomies but who can mainly manage their own care regime
• patients using CPAP machines
• patients on enteral feed / Nasal Gastric tube feeding
• patients with post-surgical drains.

This list is not exhaustive and complex cases at point of admission will be assessed on their

merits and probability of enablement goals.

• No restriction on access to beds, unless there has been emergency restriction placed upon the

home by the CQC under its statutory duties, or by the Council under its Care Act (2014) duties or

its public health responsibilities, or SEL ICB itself under the terms of this contract as the

commissioner.

• To provide effective clinical nursing management and oversight for patients, supporting and

assisting them to meet their individually identified rehabilitation and reablement goals within the

4–6-week timescales of the service.

• The provider will be the lead agent in the design and delivery of the nursing home offer and an

equal partner in the design, delivery and review of individual enablement plans at weekly multidisciplinary review meetings.

• The Provider will be expected to ensure that staff are sufficiently skilled so as to appropriately

support the wider health and wellbeing needs of patients referred to the service to support their

motivation to engage in improvement programmes and thus meet their recovery outcomes.

• Ensure nurse attendance at weekly multi-disciplinary meetings and ensure that treatment

modalities and programmes are interpreted into care plans including nursing and medical

actions.

• Offer facilities that support high quality multi-disciplinary enablement assessment that

encompasses patients’ physical, medical, social and psychological needs, respecting patient

wishes and preferences as necessary.

• Ensure that therapy assistants are available as planned seven days a week to deliver the agreed

exercise, skills or other reablement programmes as advised by the appropriate therapist.

• To ensure that there are general ‘in real time’ opportunities for people to use or regain skills that

they will require when they are discharged home

• To support general social activities and interactions between patients referred
• Involve patients at all stages of their enablement care planning to ensure that plans are targeted

to return to their previous lifestyle as far as possible.

• Ensure that specialist equipment ordered by the hospital team for the individual patient is

removed from the service by the community equipment team when no longer necessary.

• Ensure that other equipment made available for general use by the hospital team for the

purposes of enablement is kept safe and secure and used only for the purposes of the delivery of

this service.

• The service will maintain the highest level of Infection Protection Control measures and Risk

Assessment and Management strategies and be able to safely ‘barrier nurse’ patients who may

have an infection at point of discharge or who evidence an acquired infection while at the service

(Covid-19, MRSA).

• Ensure patient medication is managed, administered and complies with Nice Standards and any

LIMOS advice and requirements (the Lewisham Integrated Medicines Optimisation Service).

The provider shall ensure that there is a patient handbook available upon admission and that the

provider website is up to date with all relevant information.

The provider will maintain Care Quality Commission registration and adhere to the Essential Standards of Quality and Safety. It is expected that the Service Provider ensures that policies, procedures and practices are regularly reviewed and that the following list of standards/good practice guidance are adhered to as where appropriate:

Business Continuity and Emergency Planning Complaints Policy

Data Protection & Information Governance

Duty of Candour Policy

Evidence of appropriate Indemnity Arrangements

Freedom to Speak up Policy

GDPR Policy

Health & Safety Policy

Health Inequalities Policy

Medicines Management Policy

Moving & Handling Policy

Serious Incident, Incidents and Near Misses Policy

Infection Prevention and Control Policy

Safeguarding Policy, including Consent and MCA

Vulnerable Adults and Adults Safeguarding Policy

Visitor Policy Additional information: The ITT has been issued through the e-tendering portal. All Bidders wishing to participate must complete and…