Overview of the service
The team of clinically experienced Nurses and Therapists provide a rapid assessment of a patient in their own home. The team work in an integrated way with health and social care partners to support the reduction of unnecessary and avoidable emergency admissions to hospital. The team performs a comprehensive holistic assessment of all referred patients within 2-4 hours, making onward referrals to the appropriate community and social services, liaising with the referrer and patients GP of the outcome of the carried out assessment.
Intermediate Care Team
The team is designed to support both early discharges from hospital to return patients back into their own home and to support patients in their own home in order to prevent an avoidable hospital admission. They do this by assessing a patient’s level of function regarding self-care and planning a rehabilitation programme jointly with the patient. The programme of rehabilitation is provided by members of the team which consist of Physiotherapist, Occupational Therapists and Rehabilitation Assistants. The service is delivered both in the patient's own home or in one of the intermediate care beds in Sutton through joint partnership working with identified local care homes.
This service is not suitable for patients who have:
- An acute or unstable mental health diagnosis
- Identified as requiring social care intervention only.
- For Persons under the age of 18 years
- For persons not registered with a Sutton GP
Hours of Service
This service operates a seven day service over 365 days a year. Operating times are 8am until 7pm.
For all enquiries from both patients and healthcare professionals, please contact:
The Royal Marsden Community Services
Tel: 0208 661 3908
Fax: 0208 661 3910