Intermediate Tier Care Services

The Intermediate Tier Service (ITS) is in place to reduce unnecessary admissions to hospital and ensure that people can leave hospital more quickly by making care more easily available in the community and people’s homes.

What’s the biggest concern for the public when they, or their relatives, go into hospital care? Is it being there too long, or not long enough? That they will have to wait for a bed, or will be sent home with no aftercare? The beauty of the intermediate setting is that those who need care, but do not need to be placed in an acute setting, now have a temporary placement for rehabilitation.

Who Is It For?

The care units are for any patients who reside within the Heywood, Middleton and Rochdale (HMR) area, or who are registered with a local GP based in HMR.

These referrals come in via local health and care professionals including local GPs, nursing and care homes, local hospitals and community health care providers either from hospital or from their own homes.

The Urgent Care Community Team work as part of the Intermediate Tier Service (ITS) who operate with three sites:

- Wolstenholme Intermediate Care Unit

- Tudor Court in Heywood

- Virtual beds within the community

As an everyday example the Urgent Care Community Team may receive a referral for a chest infection, however, the patient has other underlying medical conditions. The team will then visit the patient at home and assess their needs, function and medical state. Are they able to move freely around the home, or do they require more assistance?

The appropriate care will then be placed around them. If the patient can function in a more residential setting they will have a ‘virtual bed’ at home and a team will be put in place to manage their recovery. However, if they require more hands on nursing care they will be placed in a bed at the Wolstenholme unit.

What Else Do They Provide?

The goal is to be able to provide more intensive treatment, closer to home without unnecessary hospital admissions. The ITS works as a tight knit team in the Wolstenholme Intermediate Care Unit. For a more in depth look into their services, the unit also provides:

- Community nursing and therapy services for adults

- Rehabilitation

- Supportive and complex care management

- Treatment room services

- Neuro rehabilitation

- Amputee and epilepsy services

- Stroke early supported discharge services and pulmonary rehabilitation

- Tissue viability

- Bladder and bowel – plus speech and language therapy

- Out of hours adult community nursing 

The project is in collaboration with GP Care Services Limited, HMR CCG, BARDOC (Bury and Rochdale Doctors on Call), Big Life Group , The Pennine Acute Hospitals NHS Trust, Pennine Care Foundation Trust and Rochdale Borough Council. 

The Wolstenholme unit is fast becoming a blueprint for other services around the country. It is an investment in the prolonged health and wellbeing of the local community. This kind of integration and collaborative working is unique, and is something the community should be proud of. In a podcast with Ben Gowland, Dr Zalan Alam, a Director and Clinical Lead at GP Care Services, discusses the call on GP leaders in CCGs to make sure the GP Forward View money makes its way to general practice. You can listen to the full episode here. 

For more information on all the Intermediate Tier Services, or for contact information, visit their website here.



GP Care Services are a local provider of GP management and community healthcare services. We work with local people, GPs and Health Care Professionals to raise the standards of community care, and deliver greater value across all local health systems. 


Our Testimonials

Community Gynaecology Service User said:

It has been lovely to talk to someone who not only understands but can take the time to talk to me and explain everything in detail.

7 Day Access service user said:

"I just wanted to pass on my thanks, as I know how stretched the NHS is and people are quick to complain. But I wanted to express my gratitude at the excellent service I received. Not only from my doctors surgery in Edenfield , but from the staff at the Phoenix Centre when I attended an out of hours appointment last Tuesday.

I've moved recently from Stretford and found it very difficult to get an appointment with no real help apart from " go to a walk in centre". Your service should be commended and I wanted to say you've got some great staff working for you and I only know her as Janet. Her quality of service and empathy was a refreshing change!"

7 Day Access service user said:

“A short note to say a big “thank you” for the kind gesture made towards my 92 year old father (John Allen). You treated him at the Peterloo out of hours clinic last Monday in Middleton. Despite having arranged transport (which failed to turn up), he then experienced difficulty in organising a taxi to take him home. You, however, very kindly took him back home in your own car. The whole family were very moved by this gesture and wanted to thank you personally.”

Paediatric Phlebotomy Service user said:

“Today I took my little girl to have bloods at Kingsway clinic. Janette was the lady who made the whole experience one to be shared [...] I can hand on heart praise your paediatric blood service. Yes, my little girl had a massive meltdown as she did last week, but Jeanette was brilliant and able to get some bloods.

I would really like to thank you all again especially Jeanette for making a massive difference today to my little girl, and instilling confidence in myself that there are professionals out there who are very child centred. Thank you. Please feel free to forward this email to Jeanette to remind her what a fabulous job she is doing with our children.”

Community Gynaecology Service User said:

Very friendly, caring, took the time to listen and understand. I could tell the Nurse and Doctor were passionate about their job.

The Willows Service User said:

My father, whilst on daycare and respite, was treated with dignity and respect. The staff are truly amazing and go out of their way to assist and help with any problems or worries. My father enjoyed his time at The Willows and told me the meals are amazing. Thank you to everyone at The Willows, I truly appreciated being able to leave my precious father with you knowing he was getting the best possible care.

Paediatric Phlebotomy Service User said:

Not a bad comment to make, lovely Nurse that worked well with my daughter.

Paediatric Phlebotomy Service User said:

Wonderful service! Very child friendly. Lovely lady - thank you. Couldn't be better.

Community Gynaecology Service User said:

The Doctor and Nurses are very nice.

Community Gynaecology Service User said:

I was put at ease - lovely understanding Doctor and Nurse. The Doctor explained exactly what was happening and the nurse was pleasant.

The Willows Service User said:

The Willows has become a lifesaver for both my husband and I. I no longer feel alone now I know that there is a wonderful place for both my husband I to come to. The comfort days are a wonderful break for me. I know that my husband is very well cared for. The entertainment provided for both my husband on his comfort days and both of us is excellent.

Intermediate Tier Service user said:

"I was on holiday in Portugal, fell and fractured my hip. They brought me back to the UK to Wolstenholme. I've been here a week & would like to say what a lovely friendly ward, nothing is too much trouble for the staff & the food is wonderful. If all the NHS was run like this it would be great."