National Audit of Intermediate Care


Registration for the NAIC 2017 is now open. To register for the project this year please go to http://members.nhsbenchmarking.nhs.uk/subscribe or email lucy.trubacik@nhs.net for further information. Please note: there is no cost for all organisations within England, Wales and Northern Ireland to participate in the NAIC 2017. A copy of the NAIC 2017 audit proposal is available to download here.

Intermediate care and re-ablement services are a key plank of government healthcare policy to provide health and care closer to home. The NAIC, now in its fifth iteration, provides a unique assessment of progress in community services aimed at maximising independence and reducing use of hospitals and care homes. Intermediate care services are key to reducing the financial, quality and activity pressures being experienced in secondary care and the care service sector. A highly innovative element of the audit has been the introduction of standardised outcome and patient reported experience measures as part of the service user audit. NAIC 2017 is featured on the HQIP Quality Accounts list for 2017/18.

The unique combination of organisational data and outcomes data collected in the audit enables us to address the following questions:

  • Does intermediate care work?
  • Is it cost effective?
  • Do we have enough capacity to make a difference?
  • What are the features of a “good” service?
  • How do we make the case for investment?

The project allows commissioners / funders and providers to consider both the national answers to these questions but also, importantly, how their local health and social care economy is performing on these key issues. Audit participants can access their local results via an online toolkit.

The audit is a partnership project between NHS England, NHS Wales, the Northern Ireland Public Health Agency, the British Geriatrics Society, the NHS Benchmarking Network, the Association of Directors of Adult Social Services, AGILE – Chartered Physiotherapists working with older people, the College of Occupational Therapists – Specialist Section Older People, the Royal College of Physicians (London), the Royal College of Nursing, The Patients Association, the Royal College of Speech and Language Therapists and the Royal College of General Practitioners (RCGP).

NHS England, NHS Wales and the Public Health Agency in Northern Ireland are supporting the audit and strongly encouraging commissioners / funders and providers of intermediate care to take part in NAIC 2017.

The NAIC Summary Report 2015 is available to download here, alternatively a summary project card is also available to download.


Notes for Editors

  • Contact – If you require any further information please contact the NAIC Support Team by e-mailing lucy.trubacik@nhs.net or by telephoning 0161 266 1333.

  • Intermediate care services are provided to patients, usually older people, after leaving hospital or when they are at risk of being sent to hospital. The services offer a link between hospitals and where people normally live, and between different areas of the health and social care system – community services, hospitals, GPs and social care.

  • Intermediate care services can be provided to people in different places, for example, in a community hospital, residential home or in people’s own homes.
    A variety of different professionals can deliver this type of specialised care, from nurses and therapists to social workers. The person or team providing the care plan will depend on the individual’s needs at that time.