The following is a PIN notice only and is being placed to alert providers to a potential future procurement exercise for the provision of CQC registered care home nursing care. The successful provider will need to work with the CCG, local acute providers, social care partners and the wider Intermediate Care teams to provide Care with Nursing for individuals, including those with dementia and patients who require 24 hour overview by a Registered Nurse during their multi-agency assessment. This will also include assessment for Continued Health Care (CHC) in the delivery of individually tailored rehabilitation, reablement or maintenance programmes e.g. for people who are unable to weight bear for extended periods. A main function of the Provider will be to carry out prescribed Physio / OT interventions as per therapy plan, and to host and participate in the twice weekly multi-disciplinary team (MDT) meetings. Please note that any values and timescales stated within this PIN notice are for guideline purposes only and should not be taken as a guarantee.
The CCG is looking to provide a responsive, positive ‘can do’ Care with Nursing service, operating as part of a continuum of services seeking out and promoting patients’ individual independence and which supports the wider system to:
• facilitate hospital discharge over the 7 Day period and provide a flexible approach to accepting patients (where the Home is able to meet their presenting needs).
• prevent unnecessary admission to acute settings from Emergency Departments and the community
• maximise opportunities in relation to day attendance within secondary care should further Consultant opinion or investigations be required e.g. accessing a Frailty or Ambulatory Care Unit. The Provider is required to actively manage day attendance and accept the returning patient back into the unit on the same day of attendance.
• provide effective, high quality, clinical management for individuals, contributing to the multiagency assessment supporting and assisting the person to meet identified reablement promotion of independence goals within a maximum period of six weeks. This period can be extended e.g. for non-weight bearing patients, and is subject to twice weekly multi-disciplinary review.
• to work with colleagues from the NHS and Social Care in producing agreed operational guidance in relation to patients requiring Intermediate Care – Care with Nursing.
• support onward transfer of care, should this be required and improving standards of care and the patient’s experience.
• operate effectively and efficiently, in the best interests of the patient and the wider system; representing value for money for residents of East Berkshire.