Community Care (Delayed Discharges etc.) Bill—
Amendments to be debated in the House of Lordscontinued

House of Lords

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      Community equipment shall be taken to include—
(a)  equipment which may assist with daily living as follows—
(i)  special seating,
(ii)  shower chairs,
(iii)  bath-mats,
(iv)  raised toilet seats,
(v)  teapot tippers, and
(vi)  liquid level indicators;
(b)  minor adaptations to the home, such as—
(i)  grab rails,
(ii)  lever taps,
(iii)  improved domestic lighting, and
(iv)  improving the use of contrasting colours;
(c)  equipment for home nursing such as—
(i)  pressure relief mattresses, and
(ii)  commodes;
(d)  mobility equipment such as—
(i)  walking sticks,
(ii)  zimmer frames, and
(iii)  wheelchairs for non-permanent wheelchair users;
(e)  ancillary equipment for people with sensory impairments, such as—
(i)  flashing doorbells,
(ii)  low vision optical aids, and
(iii)  textphones and assistive listening devices;
(f)  telecare equipment such as—
(i)  fall alarms,
(ii)  gas escape alarms,
(iii)  health state monitoring, and
(iv)  "wandering detectors" for people who are vulnerable."
146Insert the following new Schedule—


      "Intermediate care should be regarded as describing services that meet the following criteria—
(a)  community care services targeted at people who would otherwise face unnecessarily prolonged hospital stays or inappropriate admission to acute in-patient care, long-term residential care, or continuing NHS in-patient care;
(b)  services provided on the basis of a comprehensive assessment, resulting in a structured individual care plan that involves active therapy, treatment or opportunity for recovery;
(c)  a planned outcome of maximising independence and typically enabling a patient to resume living at home, typically within a time limit of up to six weeks;
(d)  involvement of cross-professional working, with a single assessment framework, single professional records and shared protocols;
(e)  short-term programmes of therapy and rehabilitation in a residential setting (such as a community hospital, rehabilitation centre, nursing home, or residential care home) for people who are medically stable but need a short period of rehabilitation to enable them to regain sufficient physical functioning and confidence to return safely to their own home; and
(f)  services covering a short-term period of nursing or therapeutic support (or both) in a patient's home, supported by community equipment or housing-based support services, or both, to enable earlier transfer of care from an acute hospital and to allow a patient to complete their rehabilitation and recovery at home."

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©Parliamentary copyright 2003
18 February 2003