Admission or Not?
On a home visit? Complex case? Not sure whether to admit or not? Could possibly avoid admission if there was extra support or coordinated care at home?
In House
Discuss with Case Manager Pat Hartley @ Ashcroft
Alternatives to Admission
| Name | Location | Tel | Referral Criteria | How to refer |
|
CIT Community Intervention Team |
Eccleshill |
322647 |
► mainly elderly ► IV abx ► social things - CIT have access ►for more details, click on the "case management team" icon on the left
|
●telephone CIT or fax common referral form to 322085 ●Pat Hartley (07903 828 802) |
|
Urgent Care Team (Bob Mark & Liz Hamblin) |
Eccleshill Hospital |
322575 |
► patients aged 65 years and over ► refer between 1300-1730 hours ONLY ► Liz and Bob will do a HV and decide on best management pathway ►see below for examples |
●fax patient details and summary to 01274 322 085 (eccleshill) or 01274 366 252 (new mill) |
|
Eccleshill Hospital Admission |
Eccleshill hospital |
|
►age>65 ►not for terminal patients ►must be medically stable ►examples: for convalescence poor self care |
●ring the hospital do they have a bed? ●would be nice if you could clerk them in using their standard protocol folder |
Notes
Urgent Care team :
Aims: to provide assistance to practices with late visits, reduce unnecessary admissions to acute hospitals, establish better alternative pathways - including: possible admission, support etc, to help establish the requirements for a trust wide unscheduled care service
examples of patients to refer
-
chronic disease with acute exacerbation; "off legs"; patients with complex needs - nursing/social as well as medical
-
patients who might benefit from a dual ambulance and medical response, example, patients with chest pain or cardiac arrest for whom the GP might currently call only the ambulance service. It is hoped that this dual response will help provide the best care for individual patients as well as fostering closer working ties with the ambulance service
-
patients whom the GP feels may be able to stay in the community (home or hospital) but needs more assistance/imput/review then would be normally given
examples of patients not to be included
-
patients well known to the practice that the GP feels would be inappropriate to involve a further team in their care, example, palliative care patients; patients who can be seen at the surgery example children and young adults;
-
patients who would be better managed by a planned consultation at a later date example relating to ongoing issues with which GP/practice already involved with;
-
acute mental health crisis for whom the crisis intervention team would be more appropriate
-
 | currently only available to Ashcroft and Moorside surgeries |
| as only one doctor will be on duty at any one time there may have to decline visit request depending on the workload |