Contact details Need to contact the service? Referrals to the Integrated Rehabilitation Service are Please see the Contact details section of this leafl et. made from either your GP or another healthcare professional. Your experiences If you are already a patient within the service, you can contact your local team directly on the following CSH Surrey is committed to putting people fi rst and numbers: continually improving services through listening and responding to feedback. To share your experiences, Mole Valley team please: T: 01372 384 310 Call: 020 8394 3846/43 East Elmbridge, Epsom, Ewell and Banstead team Email: [email protected] T: 01372 734 791 Or write to the Head Offi ce address below. Large print, audio format or another language Call 020 8394 3846/43 or email [email protected] to receive this information in large print, audio format or another language. Integrated General enquiries Rehabilitation Visit www.cshsurrey.co.uk for information and Service (IRS) contact details for all other CSH Surrey services. Provided by CSH Surrey and A heart in the community Surrey County Council CSH Surrey, proud to be part of the CSH Group. As a social enterprise, CSH makes profi t to benefi t local communities and to enhance its health and care services. CSH Surrey, Head Offi ce Better healthcare together Ewell Court Clinic, Ewell Court Avenue CSH Surrey, providing NHS community nursing Ewell, Epsom, KT19 0DZ and therapy services in the homes, schools, clinics Company registered number 5700920 and hospitals in the heart of Surrey since 2006. CSH/AD 007-06/14 What is our aim? For how long will you be About the team The aim of the Integrated Rehabilitation Service is to supported by the service? The IRS service brings together a wide range of enable adults to remain as independent as possible, professions and skills from both CSH Surrey and Adult taking into account health and social circumstances. The service provides short-term support from a few Social Care. Each team includes: The focus is on rehabilitation and promoting days up to three months, depending on your needs. • Physiotherapists independence within a patient’s own home. How often you receive input will be based on your needs and goals. • Rehabilitation assistants The team will monitor and review your progress and • An administration assistant. Who does the service adjust your care plan as needed. If, at the end of your support? time with the IRS service, you need ongoing help and Every IRS team works within a larger, area-based support, the team will support you to set this up. There community team that includes: The service supports people who have recently spent may be instances where it will be necessary to make a • Community nursing teams (district nurses and time in hospital or had an operation who need charge for elements of your package of care following community matrons) rehabilitation to return to independence at home. a fi nancial assessment. It also supports those who need rehabilitation support • Mental health practitioners The decision to discharge a patient from the IRS service to prevent them being admitted to hospital when their • A ‘rapid response’ team to help avoid patients will be made jointly with you based on the progress you health or mobility has deteriorated. going into hospital if their health deteriorates. have made and the goals you have achieved. The IRS service has close working links to all What happens when you are Social Care Teams, working alongside Reablement Occupational Therapists, Reablement workers and referred to the service? Social care practitioners to ensure all aspects of a person’s health and social care needs are addressed. After we receive a referral from your GP or other “Everybody involved has been so professional, a member of the team will visit you to helpful and full of ideas as to how The team will agree an action plan with you, which assess your situation. life could be made easier for me... may include input from all or just a few members of the IRS or wider team. They will work together to help They will identify the areas you are having diffi culties I have been in and out of many you become more independent. with. They will agree a plan and goals with you to help hospitals and have never before you become more independent and improve your received so much help, so willingly quality of life. given. Thank you all.” Integrated Rehabilitation Service patient.