Intermediate Care Units

This service only accepts referrals from within Bolton NHS Foundation Trust

The Intermediate Care (IMC) Pathway 2 Service provides short-term, bed-based assessment, rehabilitation and recovery support for patients who are medically optimised and unable to return directly home following an acute hospital admission.

The service supports individuals discharged via the National Discharge to Assess (D2A) Pathway 2, where ongoing assessment, rehabilitation and recovery are required outside of the acute hospital setting to determine long-term care and support needs. The overarching aim is to maximise independence, promote recovery and facilitate a safe return to the individual's usual place of residence with additional support where required.

The service is delivered across:

• Laburnum Lodge – Residential Intermediate Care Beds
• Wilfred Geere – Residential Intermediate Care Beds
• The Weaver Unit – 24 Nursing Intermediate Care Beds

The therapy model is delivered through a combination of in-reach and static therapy provision:

• Laburnum Lodge and Wilfred Geere House receive an in-reach therapy service, with Occupational Therapists, Physiotherapists and Therapy Assistants providing assessment, rehabilitation and discharge planning support to residents.
• The Weaver Unit (N3) benefits from a dedicated static therapy team model, providing consistent on-site therapy input to support rehabilitation, recovery, functional assessment and discharge planning within the nursing intermediate care and step bed environment.

The Weaver Unit provides nursing-led intermediate care and step bed provision for patients who no longer require acute hospital care but continue to require nursing oversight, rehabilitation, recovery support and ongoing multidisciplinary assessment prior to returning home or moving to an alternative community setting.

Across all sites, patients receive multidisciplinary support from nursing, therapy, social care and discharge planning professionals. Regular reviews are undertaken to assess progress, maximise independence, determine long-term care needs and support discharge back to the individual's usual place of residence wherever possible.

Prior to referral patients must meet the following criteria:

• Bolton residents
• Adults aged 18years and over
• Patient medically optimised for discharge from the acute hospital
• Individuals requiring a pathway 2 discharge to assess placement.
• Patients who would benefit from further assessment, rehabilitation, recovery and support in a bed based intermediate care setting.

EPR referral/order via the Discharge Facilitators with pathway 2 recommendation