Urgent community response (Nottinghamshire County)

We provide a holistic service to people aged over 18 who are in crisis due to for example:

• Fall - with no apparent injury or loss of consciousness
• Frailty - decompensation in frailty condition - resulting in loss of strength, speed, energy, activity and personal resilience
• Mobility - new onset/decrease in mobility for example: can’t walk/less mobile/less coordinated than normal.
• Feeling ‘unwell’ - increased or new onset of pain, fever, loss of appetite, elimination.
• Exacerbation of a chronic condition, where the condition can be safely treated out of hospital, but its functional consequences may mean that the individual is at risk of hospital admission, For example: respiratory concern, change in behaviour, observations which are different to the normal
• Social Crisis - A breakdown of unpaid carer arrangements which causes an immediate health risk to an individual.
• Palliative patient presenting in crisis

Where possible we support people to remain at home. Our clinicians will ensure that a full holistic assessment is completed and where appropriate we will liaise with or refer to other services like GP, EMAS, Virtual Ward, social care and therapy and community nursing teams.

We also arrange support for people to return home when they are medically safe from A&E/ ED

Our service is provided in patients' homes across Nottinghamshire County, patients need to be registered with a GP in Nottinghamshire County.