During the last six weeks, the Early Intervention Community Team (EICT) has made significant progress in implementing the urgent community response (UCR) two hour and two-day standards, set out in the NHS Long Term Plan.
UCR is the national collective name for services that improve the quality and capacity of care for people through delivery of urgent, crisis response care within two-hours and/or reablement care responses within two-days.
These services play a critical part in avoiding unnecessary admissions to hospitals and attendance at A&E as well as maximising people’s independence to remain at home for as long as possible. NHS England has confirmed that the standards must be implemented by 31 March 2022.
Rupinder ‘Bobby’ Chal, EICT Operational Lead, said: “The EICT has been providing these short-term urgent health and social care community response services since we launched in March 2020. We are now ensuring that we meet all the guidelines set down by the new standards to refine and improve our service. Two key workshops have already been held for colleagues to learn more about the progress in implementing the new standards. This includes recruitment, data capturing and improving operational systems and ways of working. Dates for future workshops will be shared shortly.
“We are also working closely with the West Midlands Ambulance Service to support its teams to respond to Category 1 and Category 2 calls more quickly by EICT visiting and providing clinical and emotional support to Category 3 and 4 triaged patients and their families, who are often very distressed, in their own surroundings. The types of patients we will continue to see include those with complex care needs or whose health has suddenly deteriorated through a fall, infection, frailty or exacerbation of an illness.
There are five EICT teams based at five locations in the north, south, east, west and central localities of the city. The EICT is the largest integrated community team of its kind in the UK, spanning a population of 1.3m+ and employing a workforce of 500+.
Referrals for EICT will typically be from primary care, NHS 111, A&E/same day emergency care, frailty assessment units, ambulance services, self-referral, carer referral or community-based health and social care (including care homes).
EICT’s services should have a ‘no wrong door’ approach and work flexibly based on need, not diagnosis/condition. This will enable:
- people to live healthy independent lives for as long as possible in their own homes, or the place they call home
- to avoid preventable hospital admissions
- reduce the need for escalation of care to non-home settings
- facilitate timely return to their usual place of residence following temporary escalations of care to non-home settings
- support the collaborative working required to deliver the requirements of the hospital discharge operating model.