Partnership model improves care for older people

How a joint-service rehabilitation unit in Nottingham reduces delays in discharge 

Each year, 1.15 million NHS bed days are lost because of delayed discharges. Most of those beds – 62% according to the National Audit Office (2016) – are occupied by people aged 65 and over.

Intermediate care units can reduce delays in discharge. Picture: John Houlihan

And for every day of an older patient’s average 11.9 days stay, he or she loses 5% of muscle strength.

In South Nottingham we have launched a short-stay – 14 days or less – rehabilitation unit in The Grand Care Centre for people who are ready to leave hospital and return home, but who first require short-term and intensive multifunctional rehabilitation.


The unit is a partnership between the NHS, a care home provider and third sector organisations. It operates seven days a week with admission possible within two hours of referral. To date, all admissions have been from


Want to read more?

Unlock full access to RCNi Plus today

Save over 50% on your first three months:

  • Customisable clinical dashboard featuring 200+ topics
  • Unlimited online access to all 10 RCNi Journals including Nursing Older People
  • RCNi Learning featuring 180+ RCN accredited learning modules
  • NMC-compliant RCNi Portfolio to build evidence for revalidation
  • Personalised newsletters tailored to your interests

This article is not available as part of an institutional subscription. Why is this?