1. MIDDLESBROUGH INTERMEDIATE CARE SERVICES AND COMMUNITY HOSPITAL SERVICE

2. ORIGINAL INTERMEDIATE CARE MILESTONES Designated joint SSD/Health Management Arrangements for Intermediate Care Services - Achieved. Locally agreed joint investment plan for Intermediate Care Services - Achieved. Increased bed Availability in Intermediate Care - Achieved Increased number of people receiving Intermediate Care Services. - Achieved.

3. HOW THE SERVICE HAS DEVELOPED New Intermediate Care Centre Increase in intermediate care beds - now 21 Increase in Therapy imput to both intermediate care and stroke beds Development of Reablement Service Increase capacity to all service areas. Full integration including clear formal management structure. Developments in intermediate care services for older people with mental health needs.

8. What Have We Achieved New Intermediate Care facility Integration in action. Increase in Intermediate Care provision. Intermediate Care Strategy identifying development up to 2007. Establish as key service provision in relation to prevention of hospital admissions and the facilitation of hospital discharge. Establish joint management arrangements between Carter Bequest and Intermediate Care Services. Staff in the Service have completed the Foundation of Rehabilitation Training..

9. What Have We Achieved Modern Matron appointment to work across Intermediate Care and Community Hospital. Clinical Co-ordinator working in Intermediate Care and managing access to beds across Intermediate Care and Community Hospital. Working towards the development of joint rehabilitation services across Intermediate Care and community hospital. Established joint management (Service Leads Structure) across intermediate care and the community hospital.

10. Future Commissioning Priorities Middlesbrough Intermediate Care Centre Middlesbrough Intermediate Care/Rehabilitation Need to develop a Single Point of Access for Intermediate Care. Improved access to service for Older People with Mental Health needs in line with HASCAS Project.

11. Commissioning Priorities for Carter Bequest Hospital Need for increased qualified staffing ratios in line with the Hurst Audit. Increased dietetics input for patients on the stroke unit. Increased podiatry linked to falls prevention.