Reducing hospital admissions with person-centred intermediate care

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In Wales, community resource teams (CRTs) were set up in 2010 as part of a country-wide strategy to establish a structure of intermediate community care. In the county borough of Neath Port Talbot, the nursing division of the CRT is the Acute Clinical Team and delivers assessments and interventions in people's place of residence. This article describes how this small team of nurses builds its care around patients’ needs and has successfully reduced the number of hospital admissions of patients aged 80 or older, while achieving high levels of patient and staff satisfaction.

In this article…

• The challenges brought about by people living for longer with long-term conditions

In this article…

• The Welsh model of intermediate care in the community

In this article…

• How an acute clinical team delivers patient-centred care

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