While I certainly agree with Heather Ballard (letters, pages 22-23, 24 August) that we need a large pool of 'highly skilled community and district nurses', nurses alone cannot address all the needs of those requiring 'intermediate care'.

We need to see the continued development of therapy services in the community, too.

Sadly there is considerable evidence that rehabilitation services have failed to be developed at the required levels to meet the needs of those in the community. For example, my area has two whole-time equivalent community physiotherapists (dedicated to working with elderly people) to serve a population in excess of 70,000.

There are also examples of innovative 'intermediate care' using social services staff supported by health staff, and they should not be forgotten.

Malcolm Philp Community assessment and rehabilitation team manager Rochdale