Intermediate Care Extension to Hospital To Home


Hospital to Home (H2H) is the result of a collaboration by five councils to bring clarity, efficiency and order to the Discharge to Assess (D2A) process. H2H currently supports the D2A process from the point at which a patient is identified on the ward as requiring support on discharge, through to the point that the patient receives an assessment of their longer term needs. It allows all partners to have a ‘single source of the truth’ and is a ground breaking digital approach to this multi-partner challenge faced by health and case systems up and down the country.

We are now looking to bring together subject matter experts to co-design an extension to the existing platform – which was developed as part of the LGA’s Social Care Digital Innovation Accelerator 2020/21 – so that it also covers Immediate Care and the 4 associated pathways:

  • Reablement
  • Crisis Response
  • Home Based
  • Bed Based

 We are calling this extension of the H2H platform ‘Intermediate Care’

Why Intermediate Care?

During demonstrations of H2H, councils have expressed interest in extending the collaborative H2H platform to include those delivering intermediate care and the four associated pathways. By giving relevant professionals access to the ‘single source of truth’, it will extend the value already being realised by D2A partners, as well as extend improved management information and metrics to intermediate care. 

H2H already tracks a person from the discharge lounge to home and councils have suggested that it would make sense for all intermediate care partners – from dom care agencies, district nurses, to OT’s, assessors and managers – to have access to the same information, to ensure that they monitor planned care in the best way possible. Some local authorities work with over 20 care partners and information can, understandably, become disjointed. In addition there are various expected benefits around improved system planning, person-centred care, service delivery efficiencies, as well as clarity and ownership of next steps. 

It seems clear that the addition of Intermediate Care would go a long way to overcome some of the current challenges by using the same principles involved in Hospital to Home. These include being data light, easy to use, mobile friendly, offering solid management information and valuable potential around predictive reporting and scenario planning.


There is no additional cost to be involved in the Intermediate Care collaboration, however partners need to be signed up to at least a one year licence for Hospital to Home. 

Prices for H2H can be found here and the business case for H2H can be found here. 


To join this project, for more information or if you’d just like a chat, please get in touch with CC2i via the button below