Intermediate Care Insights: Patients’ and carers’ experiences of step-down care access and provision in Westminster and Kensington & Chelsea

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Summary of report content

This report from Healthwatch Westminster and Healthwatch Kensington and Chelsea  provides insight into patients' and carers' experiences with intermediate care. It focuses on short-term intensive support, especially post-hospitalisation care where patients are regaining independence after time in hospital.

The data was collected through semi-structured interviews with 15 participants, including patients, carers, and a community professional, referred by local organizations such as Age UK and the British Red Cross. The interviews focused on themes such as discharge processes, communication, and care quality. 

The report found that while the quality of step-down care services was generally positive, issues with poor communication, inconsistent care, and challenges during the discharge process caused significant difficulties for patients and carers. Carers frequently took on advocacy roles to navigate the system, with many reporting mental strain and inadequate support.

The report makes several recommendations including better communication between services, more involvement of patients and carers in decision-making, tailored support for carers, and improved consistency in care delivery.

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General details

Local Healthwatch
Healthwatch Westminster
Healthwatch Kensington and Chelsea
Publication date
Key themes
Communication with patients; treatment explanation; verbal advice
Quality of treatment
Service organisation, delivery, change and closure
Support

Methodology and approach

Was the work undertaken in partnership with another organisation?
Yes
Name(s) of the partner organisation(s)
North West London Networked Data Lab
Primary research method used
Interviews

Details of health and care services included in the report

Details of health and care services included in the report
Adult social care, including care packages and social workers
Home care/domiciliary care including personal assistants and personal budgets

Details of people who shared their views

Number of people who shared their views
15
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