The Intermediate Care Team (ICT) is a multi-disciplinary rehabilitation team including:
The aims of the team are the prevention of unnecessary hospital admissions, facilitating earlier discharge from hospital, avoiding or delaying the need for long-term care, and promoting faster recovery from illness, and maximising independent living supporting people to remain at home or a place of their choice.
We do this by assessing the person's abilities, agreeing goals with the individual, setting up a rehabilitation program and monitoring the progress made. Individuals must consent to the referral and be medically stable before they will be taken on by the team.
We provide short term rehabilitative support to help individuals recover from illness or injury. This is achieved by agreeing goals with people and by helping them to become as independent as possible in their own homes. Subject to assessment by the social services assistant care manager, the person may have a package of homecare provided. Patients will be expected to follow an individual rehabilitation program to work towards mutually agreed goals. The service is initially for a 2 week period and may be extended for up to a further 4 weeks in order to achieve their goals.
We work closely with primary and secondary care, voluntary and private organisations, and other health professionals as appropriate. These include District Nurses, Community Matrons, Falls & Fracture Prevention Service, Community Neurological Rehabilitation Team, Palliative Care Teams, and Social Service Assistant Care Manager Specialist
Our service is for patients in the Horsham area. Patients must be registered with one the following GP surgeries: Courtyard, Holbrook, Orchard, Park, Riverside, Village, Rudgwick and Cowfold.
Referrals can be made by health and social care professionals including: GP's, community nurses and matrons, social workers, hospital consultants, nurses, paramedics, emergency care practitioners, and care scheme managers. These referrals must go via One Call, a single point of access which operates 24 hours a day, 7 days a week, on 01293 228 311.
Patients and family can refer themselves if, when triaged by a One Call clinician, the referral is deemed to be appropriate. The patient must have consented to the referral and must be registered with a GP in Horsham, Village (Southwater), Rudgwick or Cowfold.
Patients are referred for rehabilitation following:
We are located in The Rose Wing, Horsham Hospital. We don't see patients here as we are a Community service and only visit people in their own homes.