NHS England Innovative Practice Award – for developing an admission avoidance service model
Since 2021, we have prevented 3500+ service users from being re-admitted into hospital through our Rapid Response Service.
| Reduced Package of Care (POC) | 47% |
| Discharged with No POC | 38% |
| Taken Over By Reablement Team | 5% |
| Admitted into Hospital | 5% |
| Taken Over By Reablement Team | 3% |
| Moved to Nursing/Care Home | 2% |
In Bedfordshire, under a sub-contract
with ELFT, we provide rapid response
and reablement homecare services
We have been awarded zonal partners
and shadow strategic partners with
Oxfordshire County Council.
We are also preferred and approved
providers in Central Bedfordshire &
Bedford Borough.
Bariatric care is specialised support provided to individuals whose health is adversely affected by obesity and who may require surgical intervention to improve their quality of life. We offer both pre-operative and post-operative support, focusing on comprehensive medical, emotional, and lifestyle needs.
- Preparing the individual for surgery
- Providing guidance on pre-surgery lifestyle changes
- Ensuring the individual is physically and emotionally ready for the procedure
- Monitoring for signs of infection, blood clots, and internal bleeding
- Monitoring for signs of infection, blood clots, and internal bleeding
- Supporting lifestyle changes, including diet and exercise
- Offering emotional support and motivation
- Tailored to the specific needs of the individual, both before and after surgery
- Incorporating medical, emotional, and lifestyle support
- Monitoring vital signs and surgical wounds
- Administering medications and ensuring adherence to prescribed treatment plans
- Helping with meal preparation according to dietary guidelines
- Supporting the individual in adopting and maintaining a new exercise regime
- Encouraging and facilitating communication with nutritionists and other healthcare professionals
- Providing reassurance and motivation throughout the recovery process
- Helping the individual stay positive and focused on their health goals
- Assisting with daily activities such as bathing, dressing, and mobility
- Ensuring a safe and supportive home environment
- Allows individuals to recover in the comfort of their own homes, reducing stress and promoting emotional well-being
- Being in a familiar environment can enhance the healing process and provide a sense of security
- One-on-one care ensures that the specific needs of the individual are met, leading to better outcomes
- Customised care plans can be adapted as the individual's needs change
- Home care supports the individual in maintaining routines and independence as much as possible
- Encourages adherence to lifestyle changes that improve long-term health and well-being
- Family members can be actively involved in the care process, providing additional emotional support
- Home care allows for a collaborative approach, enhancing the overall support system
- Being at home reduces the exposure to hospital-acquired infections, which is particularly important during the recovery period
- Addresses not just the medical needs but also the emotional and social aspects of recovery
- Provides comprehensive support that promotes overall well-being and successful outcomes
By providing compassionate, person-centered care in the comfort of home, we can greatly enhance the recovery journey for individuals undergoing bariatric surgery, helping them achieve a healthier and more fulfilling life.
| Reduced Package of Care (POC) | 47% |
| Discharged with No POC | 38% |
| Taken Over By Reablement Team | 5% |
| Admitted into Hospital | 5% |
| Taken Over By Reablement Team | 3% |
| Moved to Nursing/Care Home | 2% |
In Bedfordshire, under a sub-contract
with ELFT, we provide rapid response
and reablement homecare services
We have been awarded zonal partners
and shadow strategic partners with
Oxfordshire County Council.
We are also preferred and approved
providers in Central Bedfordshire &
Bedford Borough.
~ Alison F. - Wife of Service User
Our Health Care Assistants undergo the highest standard of comprehensive training in medical skills, equipment use, emergency response, patient education, communication, infection control, and cultural competence.
All completed training is signed off by our Advanced Nurse Practitioner
Our service runs 7am-10pm daily, including weekends, with 24/7 on-call coverage and a single point of access for all referrals.
By collaborating and partnering with various healthcare providers who are already involved in community-based care, this service aims to create integrated, multi-disciplinary care pathways
This allows for smooth care transitions, sharing of information and assessments, and a comprehensive, coordinated approach to treating patients intensively in their home environment while avoiding unnecessary hospital admissions.
The Gold Standard Framework (GSF) is a widely used training program and accreditation process focused on enabling high- quality delivery of palliative and end-of-life care, both in hospitals and community/home settings
We aim to ensure our clinical teams, protocols, and care pathways meet best practice standards for providing comprehensive, compassionate palliative and end-of-life care to patients being treated at
