NHS Basildon & Brentwood Clinical Commissioning Group Adults
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NHS Basildon & Brentwood Clinical Commissioning Group Adults Service Directory CONTACTS BBCCG - Version1 - Dec. 2013 - Viv Clements 2 For all UNPLANNED CARE Does the patient have a loss of function? YES Does patient have any of the following that may prevent them from being managed in community setting (home, clinic or community hospital bed)? Tachycardia Tachypnoea Sepsis Acute Abdomen Cardiovascular problems YES NO NO Refer to secondary Does the patient have one of the Does the patient care following conditions? present with a functional decline Cellulitis that has a health and social care need? UTI Faecal impaction DVT Dehydration Patient assessed and COPD/CCF can’t be YES YES NO managed by a community RING SINGLE POINT OF REFERRAL 01277 695550 service For assessment, and management plan or/& coordination of further needs Opening hours: Monday to Friday 9am – 7pm Saturday and Sunday 9am to 5pm SAME DAY RESPONSE TO GP: Adult social care provides advice and services to people over the age of 18 who may need help because of their outcome of age, a disability or learning difficulty. assessment This may include: action taken onward referral if frailty due to age needed visual and/or hearing impairments physical and/or learning disabilities mental health issues BBCCG - Version1 - Dec. 2013 - Viv Clements 3 Telephone: 0845 603 7630 UNPLANNED CARE BBCCG - Version1 - Dec. 2013 - Viv Clements 4 CARERS Basildon Careline Emergency Alarm Service For the elderly who live alone or feel vulnerable because of a disability, medical condition or harassment, Basildon Careline could help them feel safe, secure and independent in their own home by providing bogus caller button, carbon monoxide detector or emergency response service alarm. Referral method: • Complete application form which is available on Basildon Council website: www.basildon.gov.uk/careline Basildon Careline Contact details 01268 465151 www.basildon.gov.uk/careline The Carers’ Emergency Planning Service will support you to complete an emergency contingency plan should a carer suddenly be unable to fulfil their caring role. The service operates 24 hours per day, 7 days per week, is free of charge and continues whilst longer term arrangements can be made. Referral method: • By email giving patient and carers details and contact numbers to: [email protected] Contact details The Carers’ Hotline: 01206 222400 [email protected] BBCCG - Version1 - Dec. 2013 - Viv Clements 5 Chronic obstructive pulmonary disease (COPD) The community COPD team offers specialist care for patients with respiratory disease, particularly chronic bronchitis, emphysema and chronic asthma. Referral criteria: Patients with MRC3 and above with any of the following: • Respiratory disease • Respiratory disease receiving long term oxygen • COPD who exacerbate frequently • Respiratory disease who require frequent admissions to hospital • Respiratory disease who require specialist intervention or opinion Exclusion criteria • Patients with asthma Referral method: • SystmOne • Referral form faxed or posted to the address or fax number below 1st Floor, Brentwood Community Hospital, Crescent Drive, Brentwood CM15 8DR Telephone: 01268 242142 Fax: 01268 246932 Monday to Friday 9am – 7pm Weekends and Bank Holidays 9am – 5pm BBCCG - Version1 - Dec. 2013 - Viv Clements 6 DAY HOSPITALS Day hospitals provide community based out-patient care, through which multi-professional assessment and treatment is available on a full or part-day attendance basis. Lead person for queries: Gary Townsend, Head of Unplanned Care: Mobile: 07949 024889 Referral criteria: • Adults over the age of 18 • Registered with a South West Essex GP • Requiring continuation of medical, nursing or therapeutic intervention, e.g. leg ulcer management, falls clinics, IV infusions, blood transfusions • Requiring assessment of a clinical condition • Rehabilitation following illness or surgery where the need cannot be met by the integrated community team Referral method: • SystmOne task • Referral form faxed or posted to the address or fax number below • Telephone on the number below Brentwood Day Hospital Brentwood Community Hospital Crescent Drive, Brentwood, Essex CM15 8DR Telephone: 01277 695038 Fax: 01277 695056 Thurrock Day Hospital John Tallack Centre Thurrock Community Hospital Long Lane, Grays, Essex RM16 2PX Telephone: 01375 364413 Fax: 01375 364458 BBCCG - Version1 - Dec. 2013 - Viv Clements 7 DEMENTIA Dementia Intensive Support Team (D.I.S.T.) Referral can be made to DIST via SPOR 01277 695550 or direct to their landline 01268 524900 ext. 2873 or Duty Mobile: 07957 643140 Inclusion Criteria: People with dementia (or suspected dementia) who are at risk of admission, with conditions that may not have required admission if there were not factors related to the dementia. People with dementia (or suspected dementia) within BTUH where factors other than their acute condition are delaying discharge Community Dementia Nurses Referral can be made by telephone or fax to: Basildon/Billericay: 01268 643281 – Mobile: 07773 370699 – Fax: 01268 288938 Older People Mental Health Team Ely House, Basildon, Essex SS14 2BQ Brentwood: 01277 265300 – Mobile: 07814 479138 or 07976 932179 – Fax: 01277 265302 Brentwood Older peoples Community Mental Health Team Brentwood Resource Centre, Highwood Hospital, Geary Drive, Brentwood, Essex CM15 9DY The Community Dementia Nurses (CDN’s) roles include: • Promoting early diagnosis of Dementia • Increasing the numbers of people on the Dementia Registers to ensure that people with Dementia have access to specialist care • Assisting with reviews of people with Dementia • Liaising with Care Homes, Community Mental Health Teams, End of Life team, Alzheimer’s Society, Carers groups and Memory Services • Providing signposting, support and advice on all Dementia matters to the Practice team BBCCG - Version1 - Dec. 2013 - Viv Clements 8 DERMATOLOGY Accessing Community Dermatology For Basildon and Brentwood CCG Localities Referrals to this service should be sent by writing to: Dr U Buhari , Community Dermatology clinic , Mayflower Community Hospital , Blunts Wall Road, Billericay , Essex, CM12 9SA Tel: 01277 621134 Fax: 01277 634226 BBCCG - Version1 - Dec. 2013 - Viv Clements 9 DIABETES CARE CLINIC Inclusion criteria All adults over 18 years of age with diabetes mellitus and also one of the following: • Type 1 diabetes – needing insulin initiation • Poor glycaemic control – needing initiation or titration of treatment • Experiencing hypo or hyperglycaemia • Where there is a concern over diagnosis i.e. genetic variation • For structured education for both Type 1 and Type 2 diabetes • For whom insulin pump therapy is indicated. Exclusions criteria • Patients with a diagnosis of diabetes under the age of 18 years • Newly diagnosed patients with diabetes who have poor renal function – CKD 4 and 5 • All adult patients with diabetes who are pregnant • All adult patients with diabetes who are acutely unwell from complications of having diabetes • All adult patients with diabetes who have an “at risk” foot complication Accessing Service By referral form faxed, posted or emailed to: Diabetes Care Centre , Craylands Clinic, Craylands, Basildon SS14 3RR (Monday to Friday 8am to 5pm) Telephone. 01268 521555 Fax. 01268 522917 Secure Email. [email protected] BBCCG - Version1 - Dec. 2013 - Viv Clements 10 END OF LIFE TEAM Inclusion Criteria This service acts as a resource to support the generic workforce in the provision of care at end of life. This includes meeting with individuals and their families to discuss advance care planning for people approaching end of life and advocates the use of the three National End of Life Care Tools as recommended in the End of Life Care Strategy DH 2008. The team facilitate this in a variety of ways. • Facilitating conversations to support advance care planning – PPC, DNACPR. • Providing a discharge facilitation pathway between secondary and primary care. • Providing education and support for health and social care staff both in the Care Home environment and the wider community. • Supporting and maintaining the coordinated care register. • Acting as the mechanism to support a change in practice in relation to end of life care e.g. Initial facilitation of GSF meeting and providing education and support around the advance care planning including DNACPR process. Exclusion Criteria Patients needing on-going nursing support. Accessing service Referral form should be faxed to 01375 373136 South West Essex Locality Monday – Friday 9am – 5pm (appointments outside of these times can be made by prior arrangement) Telephone: 01375 – 364435/49/19 BBCCG - Version1 - Dec. 2013 - Viv Clements 11 ENDOSCOPY The Eastwood Community Endoscopy Centre was opened in 2009, and provides the local population with access to gastroenterological and urological services. They provide sigmoidoscopy, colonoscopy and gastroscopy. Accessing service Complete a referral form and fax to: Eastwood Community Endoscopy Centre – Direct Access Endoscopy 348 Rayleigh Road Eastwood Essex SS9 5PU Tel: 01702 524984 Fax: 01702 529375 BBCCG - Version1 - Dec. 2013 - Viv Clements 12 EPILEPSY SPECIALIST SERVICE Inclusion Criteria • Registered with a GP in South West Essex • Adults over the age of 18 or those attending Paediatric Epilepsy Nurse and transitioning to the adult service • Confirmed diagnosis of epilepsy • Those under investigation by neurologist following a ‘first fit’ Assessment and treatment will involve support from diagnosis for