Who is accountable for beds? Who places people and provides care responsibly?
Long stay bed placements are made either by the local authority social care department (if there is a predominantly social care need) or by the Local Health Board Complex Care team (if there is a predominantly health care need). Determination of whether social care or health care is the dominant need is made through a multi-disciplinary team approach involving medical, nursing, therapist, social work, etc assessments. Short stay beds come under Intermediate Care, and again placements are made through a multi-disciplinary team assessment. Community nurses and social workers provide support alongside the care staff within the care home.
