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Angus

Integration Authority: Angus

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Client Group

Service Area

Setting

Enablers

Element of Framework

Angus - Check TEC Out

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Example of Good Practice

Check TEC Out

Client Group(s)

All Younger adults Older adults

Service Area(s)

All Community care

Setting(s)

All Remote and rural

Enabler(s)

All

Elements of Framework

All Live independently at home or in a homely setting
Angus - Intermediate (step-up) care

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Example of Good Practice

Intermediate (Step-up) Care

Client Group(s)

All Older adults

Service Area(s)

All Admission avoidance

Setting(s)

All Remote and rural

Enabler(s)

All

Elements of Framework

All Short-term, targeted interventions to meet more complex needs Enhanced care in care homes and supported accommodation Fully integrated community teams
Angus - Monifieth Integrated Care

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Example of Good Practice

Monifieth Integrated Team

Client Group(s)

All Older adults

Service Area(s)

All Social care services Intermediate care incl Hospital at Home Community care Supported discharge Physical health

Setting(s)

All Corporate

Enabler(s)

All Improvement capacity Information sharing Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Elements of Framework

All Teams aligned to general practice Live independently at home or in a homely setting Fully integrated community teams