Rapid Response

Islington
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Rapid Response provides a joined up integrated service at home for acute unwell patients, to avoid unnecessary admissions.

Patients will have access to:

  • a multi professional team consisting of nurses, therapists and health support workers, providing support from 8am until 10pm,  seven days a week
  • an overnight nursing offer from 10pm to 8am, seven days a week
  • clinical and social input
  • a fast and efficient referral process

Examples of patients who can be seen by the service include those suffering

  • falls
  • urinary tract infection (UTI)
  • upper or lower respiratory tract infection (URTI / LRTI)
  • unstable diabetes
  • cellulitis

also those needing

  • wound care
  • urgent new or increasing care packages up to four times a day, in addition to their health or therapy need, limited to care delivered by a single person (single handed packages of care). 

Nursing staff within the service have advanced assessment and prescribing skills and will lead on the patients’ clinical management.

Assessment and Intervention

All patients referred to the service will need to have been assessed by a GP face-to-face, or by telephone. Patients accepted into the service will be triaged by a senior clinician using your verbal referral. They will then receive clinically appropriate assessments and interventions from relevant clinicians and support staff:

  • A face-to-face initial assessment within two hours, four hours or 24 hours, depending on need identified at triage and agreed with you.
  • Initial assessments may be by a nurse and/or therapist dependent on clinical needs identified with you at triage.

Intervention will be for up to seven days or as needed, with patients being directly referred onto appropriate health and care services if required.

Clinical Management and Escalation

The matrons will lead on the clinical input and coordinate the patient’s health and care needs until patients are discharged from the Rapid Response service. Although GPs will maintain overall clinical responsibility for the patient, matrons can access the virtual ward doctors for escalation of medical issues while the patient is in the service. This may result in the patient being admitted under the virtual ward and medical responsibility would  transfer to the AEC Consultant. The matron will update you of any concerns and contact you once your patient’s intervention has been finalised.


Eligibility criteria

Inclusions

  • Adults aged 18+

  • Resident of Islington

  • Assessed face-to-face or by telephone by a GP 
  • The service will travel up to 1 mile from Haringey and Islington borough borders, for patients registered with NCL (Haringey or Islington) GPs, if this supports continuity of care and is requested by the GP

How to refer

The following clinicians can refer to this service: GPs

Directly by telephone

Use appropriate number depending on time of calling

t: 020 7288 3670 (8am to 10pm) and 07827 232 930 (10pm to 8am)

Request the clinician for rapid response.

If additional written information is requested, email whh-tr.rrvw@nhs.net


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