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Intermediate Care

Improving Intermediate Care Services

Making Intermediate Care Better

We are consulting on making changes to intermediate care services.  We want to permanently establish the Community Treatment Team (CTT) and Intensive Rehabilitation Service (IRS) , which would mean that more people would receive care in their own homes. We also want to merge the three existing community rehabilitation units into one unit, on the King George Hospital site in Goodmayes, which would mean that the other two units would close. 


To find out more about this then please read the consultation document below. 


Intermediate Care

Intermediate care means services that help people get better quicker without needing to go to hospital, and that also help get people out of hospital and back home - sometimes after a stay in a community rehabilitation unit.

Intermediate care services

  • promote faster recovery from illness
  • prevent unnecessary acute hospital admission
  • prevent premature admission to long-term residential care
  • support discharge from hospital and maximise independent living.

The CCGs in Barking and Dagenham, Havering and Redbridge are working together with health and social care partners, including the three local councils and community health service provider North East London NHS Foundation Trust (NELFT), to improve how intermediate care is delivered.

People have told us that, where possible, they want to be cared for and supported in their own homes, or closer to home, not in hospital. We think, and evidence supports our thinking, that people spend too long in hospital, which can make it much harder for them to return home and live independently again. By shifting activity away from hospitals and into the community, instead of relying on institutional (bed based) services as the default, people’s individual needs, choice and the ability to return home come first.

Update in December 2014:

In recent years Barking and Dagenham, Havering and Redbridge (BHR) Clinical Commissioning Groups (CCGs) have been working together with local councils and North East London NHS Foundation Trust to improve intermediate care services for local people.


Today, 11 December, the governing bodies of the three CCGs agreed on the future model of intermediate care, which is to:

  • permanently establish home-based services - Community Treatment Team (CTT) and Intensive Rehabilitation Service (IRS)
  • reduce the number of community beds so bed numbers are in line with modelling, which shows that between 40-61 community rehabilitation beds are needed in the three boroughs
  • locate these beds on one site at King George Hospital in Redbridge.


GPs led on the development of the proposals while the trial of the new services allowed the time to test the model and make sure it’s effective. Evidence tells us it is. More people are being seen by the new services and more quickly, they are incredibly popular with patients and families, and people are getting care where they have told us they want to be – at home, with better outcomes and improved satisfaction. 


The comprehensive decision-making business case sets out the evidence the governing bodies considered and is available on our websites:



The decision-making business case followed a 14 week consultation ‘Making intermediate care better’. The responses to the consultation saw support overall and in each borough for the preferred option: home-based services where possible and one community rehabilitation unit on the King George Hospital site.


The CCGs will look to implement these changes in the 2015/16 financial year and will keep you updated on work to make sure this happens smoothly and that care remains consistently of high quality. 



Dr Gurdev Saini, clinical director, frail elders, Havering Clinical Commissioning Group

Dr Jagan John, clinical director, integrated care, Barking and Dagenham Clinical Commissioning Group

Dr Mehul Mathukia, clinical director, integrated care, Redbridge Clinical Commissioning Group


© 2022 NHS Havering Clinical Commissioning Group.