Primary Health-care, Adult Services and Children Services in Westminster

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1 Primary Health-care, Adult Services and Children Services in Westminster In Westminster over 4,000 people receive Supporting People services provided by 44 different organisations. The Supporting People programme aims to improve the quality and life for a diverse range of vulnerable adults and young people in Westminster who at times may need to access Primary Care, Adult and Children Services in Westminster. A conference was held on 8 th May to discuss issues around accessing the range of statutory and healthcare services by providers of housing related support and this contact list has been designed to assist housing related support service providers to access social care services and the range of primary health-care services in Westminster. Also included are details of Primary Care Trust services discussed at the conference, in particular the Westminster Rehabilitation and Rapid Response Service. There are a range of services across Westminster and are generally divided into North and South with access to these services covered by geographical areas. This information should be made accessible for front-line workers to ensure referrals can be made to services where a tenant s health deteriorates or where advice is sought to meet the needs of vulnerable people in Westminster.

2 Useful telephone numbers Adult Services North Older and Disabled People Team 4 Frampton Street Telephone Number Geographical areas covered: Marylebone, St Johns Wood, Queens Park, Paddington, Bayswater South Older and Disabled People Team City Hall, 64 Victoria Street Geographical areas covered: Victoria, Pimlico, West End, Knightsbridge St Mary s Older and Disabled People Team and Specialist HIV Team St Mary s Hospital (In patient clients) Learning Disabilities Partnership Frampton Street Substance Misuse Team

3 Adult Mental Health Services Telephone Number Victoria Community Mental Health Team West End Community Mental Health Team Paddington Community Mental Health Team Abbey Road Community Mental Health Team Children s Services Telephone Number Children and family Assessment Team Connexions Other Council services Telephone Number Environmental Health For general inquires Housing Options Service The service offers advice and assistance to those threatened with homelessness Primary health-care Telephone Number Rapid Response Nursing Westminster Rehabilitation Services Homeless Health Support

4 Team Primary Health Care Services WESTMINSTER RAPID RESPONSE TEAM The new Westminster Rehabilitation and Rapid Response Service is a multi-disciplinary team providing therapy and rapid response community nursing to residents of Westminster What do we do? The aim of the service is to keep Westminster residents healthy at home. Nurses therapists and support workers will see clients in their homes or residents or residential homes and other community settings. Rapid Response Nursing Team (RRNT) The team provides intensive community nursing assessment and care for prevention of admission to hospital and A&E. Who makes up the Westminster Rehabilitation and Rapid Response Service? Nurses, Physiotherapists, Occupational Therapists, Speech and Language Therapists, Dieticians, Podiatrists, Psychologists, Rehabilitation Assistants and Support Workers Who can refer? Any health or social care professional can refer. Members of the public can self refer into the rehabilitation service. How do you refer? There are different ways to refer into Westminster Rehabilitation Service and the Rapid Response Nursing Team. The key difference is that you can only make referrals by phone into the Rapid Response service, whereas you can phone and fax into the rehabilitation service. Phone: (for both services) Fax: (for Westminster Rehabilitation service only) Please ensure you use the Single Assessment Process (SAP) documentation for referrals Who should be referred to the service? Westminster residents 16 years and over requiring rehabilitation or intensive community nursing support that will avoid a preventable hospital admission. What is unsuitable for referral? Undiagnosed medical emergency When care can be provided through existing services to patients/clients When patients, carers or health/professionals are not able to participate in a treatment plan Patients of the Westminster Rehabilitation Service must have the potential to improve their functional status. When will the patient be seen? Westminster Rehabilitation Service Duty therapist will prioritise according to needs Rapid Response Nursing Team Aims to assess patients within two hours How do you get further information? North Westminster Office: 1 st Floor 215 Lisson Grove NW8 8LW Tel: (for inquiries) (for referrals only)

5 WESTMINSTER REHABILITATION SERVICE MULTI-PROFESSIONAL TEAM The Westminster Rehabilitation Service is a multi-professional team (with bases in the north and south). The Team consists of: Administrators Care Managers Clinical Psychologist Dietician Occupational Therapists Physiotherapists Podiatrist Rehabilitation Assistants Speech and Language Therapists The team sees clients in their own homes or other community settings. The team promote safety and independence in daily activities (e.g. personal care, domestic tasks and functional mobility) by using a multidisciplinary goal setting approach. The team provides an urgent intervention service (to avoid unnecessary admission to hospital and / or minimise significant and urgent risks of injury or ill-health) as well as non-urgent intervention. Most clients require intervention for a period of several weeks, although this may be shorter or longer, depending on clients needs. Acceptance Criteria: The team sees people who: are 16 years or over live in the borough of Westminster require rehabilitative intervention at home or residential home (i.e. not living in a nursing home) require input from one of the following professional groups: - Occupational Therapy - Physiotherapy - Speech and Language Therapy (with or without need for input from the other professionals in the service) are medically stable are in agreement with a referral being made and are willing to actively participate in a rehabilitation programme have a home that is safe and conducive for rehabilitation treatment to be provided Exclusions: Need for non-mobility equipment or minor adaptation assessment only (should be referred to Dependability) Need for input from a Dietician only (should be referred to the Community Dietetics Service) Need for input from a Podiatrist only (should be referred to the Community Podiatry Service) Need for input from Nursing only (should be referred to the District Nursing Service) Clients living in nursing home accommodation (Therapy needs should be referred to the locum Occupational Therapist covering nursing and continuing care accommodation. She can be contacted via Garside House Nursing Home, Tel: ). Contact Details: North Team: South Team: 1 st floor, 7 th floor West, 215 Lisson Grove Westminster City Hall NW8 8LW 64 Victoria Street SW1E 6QP Tel: Tel: Fax: Fax: N.B. PLEASE DO NOT SEND REFERRALS DIRECTLY TO THE TEAM.

6 REFERRALS SHOULD BE MADE VIA W.R.R.S. DUTY Tel: ; Fax:

7 FALLS PREVENTION SERVICE The Falls Prevention Service aims to reduce the incidence of falls, improve clients physical ability and confidence, promote healthy living, raise awareness of falls and introduce clients to community life. The service provides a group intervention programme within local community centres, including: Health promotion - presentations to raise awareness of falls and ways in which to prevent them Education on preventing falls provision of information on how to reduce the incidence of a fall at home and outdoors, including guest speakers providing information on diet, exercise, safety in the home, foot care, anxiety management and relaxation, and road safety. Exercise classes to improve strength, balance, flexibility, endurance, walking, posture, self confidence and independence Continued support and follow-up including referral to other community-based classes to continue with progress The Fall Prevention Service Team includes: Exercise Physiologist Physiotherapist Occupational Therapist Rehabilitation Assistants Guest Speakers including a Dietician and Podiatrist Acceptance Criteria: The team sees people who: Are 16 years or over Live in the borough of Westminster Are able to independently mobilise with or without use of a walking aid Have a history of falls or fear of falling Are medically fit to participate in an exercise programme Are willing and motivated to make a commitment to a weekly group for a period of 16 weeks. Exclusions: Significant problems with cognition (memory, concentration or attention etc) which would affect their ability to participate in a group or to carry out a home exercise programme Clients requiring a rapid response or crisis intervention service Contact Details: 7 th floor West, Westminster City Hall 64 Victoria Street SW1E 6QP Tel: Fax: N.B. PLEASE DO NOT SEND REFERRALS DIRECTLY TO THE TEAM. REFERRALS SHOULD BE MADE VIA W.R.R.S. DUTY Tel: ; Fax:

8 NORTON HOUSE REHABILITATION UNIT (INTERMEDIATE CARE) Norton House Rehabilitation Unit is an 8-bedded unit housed within a residential home in Victoria. The Unit promotes independence and quality of life for older people living in Westminster by preventing unnecessary hospital admissions, long hospital stays, and by helping people to remain living at home. The service provides short periods of rehabilitation (approximately 6 weeks depending upon individual needs) in a safe, residential environment. The Norton House rehabilitation team consists of: Rehabilitation Unit Manager Physiotherapist Occupational Therapist Rehabilitation Assistants/Care Assistants Team members work closely with other professionals including Podiatry, Dietetics, Speech and Language Therapists, and clients have access to Care Managers, GPs and District Nursing services, as they would from their own home. Acceptance Criteria The team sees people who: Are 65 years or over Live in the Borough of Westminster Are medically stable Are motivated and have the potential to benefit from a period of rehabilitation Have no greater need than residential care Have an identified discharge destination Are able to transfer with the assistance of one carer Have an allocated Care Manager Exclusions Any client who requires more than residential home level of support Any client who cannot comprehend and follow a treatment programme Contact Details: Norton House Rehabilitation Unit 10 Arneway Street Victoria SW1P 2BG Tel: Fax: Messages may be left on Tel: N.B. PLEASE DO NOT SEND REFERRALS DIRECTLY TO THE TEAM. REFERRALS SHOULD BE MADE VIA W.R.R.S. DUTY Tel: ; Fax:

9 RHEUMATOLOGY SPECIALIST OCCUPATIONAL THERAPIST The provision of Rheumatology Specialist Occupational Therapy to Westminster residents is a new improvement within Westminster Rehabilitation Service. The service is still in an early stage of development and at present sees clients either in their own homes or in a weekly clinic session at the South Westminster Clinic, in Vincent Square. The Specialist OT carries out assessment and intervention including: Splinting Education and advice on rheumatological conditions, joint protection techniques, energy conservation and work simplification Provision of small aids and equipment Provision of home exercise programmes The Rheumatology Specialist Occupational Therapist works closely with the north and south teams of Westminster Rehabilitation Service and also provides advice to, or may do joint home visits with, other team members working with clients with rheumatological conditions. The types of client the OT may see include those who: are experiencing recent or current arthritic flare-up (i.e. an acute episode) OR have recently been diagnosed with rheumatoid arthritis OR have an upper limb condition as a result of arthropathy (e.g. generalised wrist or thumb/finger pain, inflammation, swelling, or experiencing difficulty with a specific task involving upper limb use such as hand writing, specific sports or hobbies or care giving duties) OR have a specific upper limb condition such as carpal tunnel syndrome, de Quervain s tenosynovitis and occupational overuse syndrome. Acceptance Criteria: The Rheumatology OT sees people who: are 16 years or over live in the borough of Westminster require input from an Occupational Therapist specialised in rheumatology Exclusions: Clients who are experiencing general functional difficulties, not specifically related to a rheumatological condition Clients with rehabilitation issues which could be addressed by a general rehabilitation Occupational Therapist (i.e. do not require an OT with specialist knowledge and skills in rheumatology) Contact Details: Westminster Rehabilitation Service 7 th floor West, Westminster City Hall 64 Victoria Street SW1E 6QP Tel: Fax: N.B. PLEASE DO NOT SEND REFERRALS DIRECTLY TO THE TEAM. REFERRALS SHOULD BE MADE VIA W.R.R.S. DUTY Tel: ; Fax:

10 INJURY PREVENTION THERAPIST FOR INFORMAL CARERS The Injury Prevention Specialist is a new initiative and is due to start in September The postholder (an Occupational Therapist) will work with informal carers and those they are caring for, in order to provide intervention to minimise risks of injury due to inappropriate manual handling and to improve carers ability to manage the needs of the person for whom they are caring. The post-holder will: Liaise with carers in the community on what their needs are and develop a service that is user led to help meet these needs Carry out moving and handling assessments and provide intervention as required Provide education on, and promotion of back care and general health Provide information on community support services for carers The Injury Prevention Specialist will work closely with the north and south teams of Westminster Rehabilitation Service and will also provide advice to, or may do joint home visits with, other team members working with clients with complex needs and their carers. (Provisional) Acceptance Criteria: The Injury Prevention Specialist works with those who care for people that: are 16 years or over live in the borough of Westminster and where there exists a significant risk of injury or difficulty managing care needs (Provisional) Exclusions: Formal (paid) carers Contact Details: Westminster Rehabilitation Service 7 th floor West, Westminster City Hall 64 Victoria Street SW1E 6QP Tel: Fax: N.B. PLEASE DO NOT SEND REFERRALS DIRECTLY TO THE TEAM. REFERRALS SHOULD BE MADE VIA W.R.R.S. DUTY Tel: ; Fax: