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Urgent Community Response - Sirona

Checked: 23-11-2023 by Vicky Ryan Next Review: 23-10-2024

Overview

The service is for patients over 18 years registered with a BNSSG GP.

The Urgent Community Response offers a same day multi-disciplinary response, incorporating a comprehensive holistic assessment supporting people within the domiciliary setting who are at risk of an unplanned, hospital admission or ED attendance.

Service Hours: - 8am – 8pm 7 days a week.

Urgent Care Community Response poster

Please note: For adults who are acutely unwell with a respiratory illness, who have been seen face to face by primary care and who require clinical care to remain safe in their own home environment, consider the NHS@home - Respiratory pathway.

If GPs would like to speak to Sirona clinicians about any person of concern, who is currently active on a Sirona INT caseload, please use the professional line numbers. Please note this is not for new referrals.

Referral criteria

Referral criteria for 2-hour Urgent Community Response:

Requires assessment for crisis care support and/or equipment to remain at home or to prevent an imminent admission to hospital.
The person is imminent end of life and requiring equipment and /or care to remain at home.
The person is unable to get up from the chair / bed / toilet - no appropriate pressure relief in place.
Needing to access the toilet with no appropriate equipment
Carer unable to transfer the patient no adequate manual handling equipment in place.
The person has experienced a sudden deterioration in their health or function causing significant concerns about person remaining in their home environment.
Patient has had a fall and needs urgent therapy assessment to help them stay safe at home

If the person does not meet the 2-hour urgent response criteria but still requires urgent intervention to avoid an Hospital admission please refer through same process, stating response needed same day but not within 2 hours.

INCLUSION CRITERIA

Patients with a deterioration in functional ability and at risk of hospital admission within 48 hours
Patients with an exacerbation of a long-term condition at risk of hospital admission within 24 hours.
Falls with no apparent injury to head, back hip, no loss of consciousness and no likely hip fracture
Increased or new confusion, acute worsening of dementia and/or delirium (excluding sepsis requiring hospital admission)
Palliative care/EOL crisis support

Urgent requirement for:

catheter care
support for Diabetes
support for respiratory conditions
carer breakdown support, which if not resolved will result in a health crisis for the person they care for
equipment provision

Exclusions

Wound Closure / suturing
Presenting complaint of mental health crisis
Non-urgent therapy referrals > 48 hours
Routine Community Nursing referrals

Referral

Refer via Single Point of Access (SPA) on 0300 125 6789

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.