The Practice: A case study of a vanguard pilot site
"The Practice" is a branch practice to seven local GP practices and is based in a community hospital. This study concludes that establishing "the practice" at Lymington Hospital "demonstrates an alternative model of primary care delivery.... It has brought together primary care professionals, community care professionals, secondary care professionals and the CCG to work to a common purpose of providing better local care for the local population."
Johnny Lyon-Maris and Samantha Scallan GP Education Unit, Southampton, New Forest and Jersey
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NICE Guidance on Intermediate Care including Reablement
This guideline covers referral and assessment for intermediate care and how to deliver the service. Intermediate care is a multidisciplinary service that helps people to be as independent as possible. It provides support and rehabilitation to people at risk of hospital admission or who have been in hospital. It aims to ensure people transfer from hospital to the community in a timely way and to prevent unnecessary admissions to hospitals and residential care. It is highly relevant for community hospital providers and staff, as well as commissioners. To access the report please follow the link
Lynne Mann, (2016)"Delayed discharges within community hospitals: A qualitative study investigating the perspectives of frontline health and social care professionals", Journal of Integrated Care, Vol. 24 Iss: 5/6, pp.260 - 270
To access the article, please follow the link
Transfer and readmission of patients between acute and community hospitals: a retrospective review
Endacott et al May 2015 Quality in Primary Care 23(1) 46-50
To access the article please follow the link
A fascinating paper has been published by one of the research teams on what we can learn from community hospital provision internationally.
The paper by the RAND team draws on learning from 75 papers from 10 countries, and identifies the diversity of services, and also the key role that community hospitals have in integration.
A recently published study from Norway has reviewed community hospitals and concluded that they make a valuable contribution to local health systems. Read more
“Our findings suggest that this type of intermediate care is a viable option in an effort to alleviate the burden on hospitals by reducing the acute secondary care admission volume.”
Swanson, J and Hagan, T (2016) “Reinventing the community hospital: a retrospective population-based cohort study of a natural experiment using register data” BMJ Open 2016;6:e012892 doi:10.1136/bmjopen-2016-012892 Health policy
Local community hospitals offer a safe and viable option to acute hospital admission according to a new report out by researchers at the University of Bristol. The researchers examined evidence on five types of community-based care. One of the studies they considered reported fewer readmissions and less community care needed following a community hospital intervention compared to acute hospital care.
Read more here
BMJ 2016; 354 (Published 19 July 2016)
The letter calls for a halt to the indiscriminate reductions of services and closures in community hospitals until the outcome of current research studies are available. The article also refers to countries such as Italy and Norway, where they have a clear strategy to develop community hospitals and intermediate care. The letter was “letter of the week” in the BMJ, and it is hoped that it raises the profile of community hospitals and encourages a debate.
Read more here
The CHA maintains a database of literature on Community hospitals and associated services. The CHA has prepared two resource packs of published papers, one for the UK and one international. These resource packs offer an introduction to the literature, with a selection of references.
orged in the Fire of Adversity
by David Wood, CEO of Attend. The book can be downloaded here