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Training implications of developments in intermediate care

Published online by Cambridge University Press:  01 May 2008

PB Khanna*
Affiliation:
Gwent Health Care NHS Trust, Wales
B Bhowmick
Affiliation:
Gwent Health Care NHS Trust, Wales
*
Address for correspondence: PB Khanna, Nevill Hall Hospital, Brecon Road, Abergavenny, Monmouthshire NP7 7EG Email: [email protected]

Extract

Key strands in developing future services in geriatric medicine in Wales have been the 2000 ‘Review of Health and Social Care in Wales’ by Sir Derek Wanless, the Welsh Assembly Government document ‘Designed for Life’ of May 2005, and the National Service Framework (NSF) For Older People in Wales (published in March 2006). The common theme in these documents is for older people's health and social care issues to be managed nearer to their home, in the community. At present, the development of Intermediate Care Services has been ‘hit and miss’ – fragmented, unevenly developed and delivered with poor integration into mainstream services. The Academy of the Royal College's Medical Aspect of Intermediate Care identifies the lack of specialist medical input as being one of the reasons for the failure of development of Intermediate Care Services. It recommended that geriatricians should be encouraged to undertake well-defined roles in community work in planning and delivery of Intermediate Care Services.

Type
Education and training
Copyright
Copyright © Cambridge University Press 2009

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References

1The Review of Health and Social Care in Wales, Wanless, D. Welsh Assembly Government, Wales: 2003.Google Scholar
2Designed for Life – Creating World Class Health and Social Care for Wales in the 21st Century. Welsh Assembly Government, Wales: 2005.Google Scholar
3National Service Framework For Older People In Wales. Welsh Assembly Government, Wales: 2006.Google Scholar
4Higher Medical Training – Curriculum For Geriatric Medicine. Joint Committee on Higher Medical Training: 2004.Google Scholar
5Khanna, PB, Dunn, A, Bhowmick, B. Wales develops core curriculum of competencies in intermediate care. Br Geriat Soc Newsletter 2006; 3: 1618.Google Scholar
6D'Souza, C.Intermediate Care in Wales – ‘best of both worlds’ – an SpR's perspective. Br Geriat Soc Newsletter 2007; 12: 1213.Google Scholar