Tameside Metropolitan Borough Council (TMBC) Adult Social Care and Stockport NHS Foundation Trust Community Assessment and Rapid Access Team, (CARA) are joining forces to create a new service. The service is a 12 month pilot and will inform the future service model as we work towards wider health and social care integration.
From Monday 2nd September 2013 these two community teams are combining to create a 7 day week, urgent care service for Tameside & Glossop, which will operate 8am – 10pm. The Service will be known as the Integrated Response & Intervention Service or ‘IRIS’. IRIS aims to prevent emergency admissions to hospital and residential care as well as providing enhanced community services in order to safely support people at home. This new team comprising of nurses, physiotherapists, social workers/assessors, occupational therapists and reablement support workers who will work proactively to make a single joint health and social care assessment, responding rapidly (where necessary within the hour) supporting primary care and community services to prevent deterioration and avert crisis.
Following assessment, IRIS will instigate a care plan for up to 6 weeks, (with a ‘crisis’ response of up to 2 weeks) in order to manage individuals in their own home/usual place of residence in the event of one or more of the following ‘crisis’ presentations:
Exacerbation of Long Term Conditions – breathless/known COPD/LVF;
Carers failing to cope - care home;
Carers failure to cope - own home or carer illness;
Elderly, frail patients off their feet/infection;
Palliative Care Crises;
Blocked Catheter/Constipation problems
respond to and manage the majority of presentations and will be competent,
skilled and sufficiently experienced to provide an immediate response, undertake
appropriate investigations such as bloods, PO2, BP, Pulse and
stabilise the individual. The team
will still call upon specialist input and support as required via existing arrangements,
for example the Long Term Conditions Team, MacMillan Team and specialist mental
team will be developing new ways of working as the service evolves and the team
reach their full workforce capacity and capability. We will provide a monthly update of these developing
can be accepted from any Health or Social Care Professional (e.g. GPs,
Community Health or Social Care Teams, Nursing & Residential Homes,
Ambulance Staff and A&E).
Please sign up for access to your GP electronic health records to help get us provide you with the best care possible
Many of these patients could benefit from access to their records. Please click here to learn how to get access to your records if you have not done so already. This will greatly help the service by knowing who else is involved in your care and also what your GP or nurse have been doing to help you and what other tests, investigations, medications, allergies and other information there is in your record. They can only access all this information if you share the record with them. They can also keep up-to-date with what is going on without having to keep contacting the surgery to find out more. This could be really important at times when the surgery is shut as well.