"The service will also be a step-down bed
option for customers, ensuring wrap around support is available from support services.
If a patient is authorized to stay in one of Spectrum's detox beds, the battle with payers begins again a few days later to get them into a step-down bed
for stabilization before continuing in outpatient treatment.
The group also proposes that local authorities should either build, or support housing associations in building, up to 12 ecohomes for older people, in which step-up and step-down beds
from hospitals are accommodated and where a carer can be on hand.
However, 33% of these comparable units are extensions of the UHC hospitals' neuroscience ICUs, and they only have between 3 and 6 step-down beds
. The others are surgical or cardiac step-down units.
Mr Donohoe said the Winter Initiative was being reviewed on a continual basis and there would be 55 acute beds and 18 step-down beds
as part of the programme.
The Burn Center has eight Intensive Care and 12 Step-down beds
, with the capability to expand to 40 beds.
They often have 3 times the number of step-down beds
as ICU beds, a step-down patient-to-nurse ratio of 3 to 1, and all beds controlled by the same critical care service.
The health authority has just invested pounds 3.3 million in intermediate care, with 40 step-down beds
due to open later this month.
Nurses' union leader Lorraine Monaghan blamed the Government for driving thousands of nurses out of the country and for failing to find step-down beds
for patients fit to leave hospital.