The Community Rehabilitation Beds (step-up) Pathway is for people who need intensive support with rehabilitation, reablement or recovery (up to three weeks), but do not require admission to an acute.

What's provided:

• rehab beds
• multidisciplinary team
• goal-focused rehabilitation
• return home support.

Eligibility Criteria

Inclusions

• 18 years or over
• registered with an NCL GP
• experiencing functional decline and have a specific rehabilitation goal/s to achieve
• unable to remain safely at home and has rehabilitation or reablement potential
• clinically stable but do not require acute hospital care 
• consent obtained or best-interest decision made
• able to participate in intensive rehabilitation programme.

Exclusions

Medically unstable or requires acute diagnostics

• primary mental health admission
• end-of-life care 
• requires long-term placement or respite care or rehousing
• infection prevention and control needs cannot be met by the unit environment.

Note: Flexibility of criteria is considered under exceptional circumstances and agreed by discussion with screener.

How to Refer

Referrals are accepted from all healthcare professionals.