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.
Stoma care revolves around the management and support of individuals who have undergone surgery resulting in the need for a stoma, which is an artificial opening on the abdomen that allows waste (feces or urine) to exit the body. This can be a result of various conditions, including bowel surgery, Crohn's disease, or ulcerative colitis.
- Support for service users in adjusting to life with a stoma.
- Guidance on managing common problems (e.g., leakage, skin irritation)
- Assistance with selecting appropriate stoma appliances and accessories
- Language Processing Disorder: Affects the ability to understand or use spoken language.
- Nutritional advice specific to stoma patients.
- On-call telephone support.
- Expert care from dedicated stoma care nurse specialists.
- Improved confidence in managing your stoma independently
- Reduced risk of complications through proper care and monitoring.
- Better quality of life and psychological well-being.
Continuity of care from post-operative stage through long-term management.
Support in returning to normal activities and lifestyle.
Effective stoma management and professional support enables individuals to maintain an active and fulfilling lifestyle. Ongoing consultations with stoma care specialists will also play a vital role in ensuring long-term health, comfort, and quality of life for those living with a stoma.
| 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.
~ Sylvia H. - 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
