Front door working in Combined Assessment.ppt

Front door working in Combined Assessment Philosophy of CAA GP and AE referrals/admission 6 trolleys, 46 bedded unit Point of Entry diagnostics, assessment,treatment and reassessment Needs met by best-placed professional Information follows patient in real-time Specialist advice availability Estimated date of discharge Staffing and Service provision Medical staff, including SPRs Nursing staff – enhanced roles Dedicated pharmacists Dedicated Primary Care Physician Staffing and Service provision cont. Dedicated Physiotherapy Dedicated Occupational Therapy Access to Dietetics and SALT 7 day (and PH cover)AHP Service (Safe Home service in AE) The assessment of those with complex needs – the MDT Key words: team; multidisciplinary; 24 / 7 The MDT in the Combined Assessment Primary Care Physicians: - Split sessions between GP clinic / CAA - Complex needs / frail elderly patients - Develop patient-specific plans with MDT - Knowledge, communication and discharge facilitation The MDT in Combined Assessment Occupational Therapy - Pre admission status verification - ADL and Support Services Ax - Rapid access of equipment / care services The MDT in Combined Assessment Physiotherapy - “Biomechanical” - Patterns of movement and coordination - Balance and gait - Exercise tolerance / walking aids Why Therapy in Combined Assessment? To obtain an accurate picture of an individual’s social, biomechanical and functional ability in the context of an acute illness presentation, and to facilitate appropriate decision making with regards direct discharge home or admission to speciality ward The MDT in CAA: Referrals, Risk and Outcomes Key words: assess; risk; communicate. Therapy Referrals: Typical referrals - Collapse / Falls “Simple” medical illness TIA / CVA Complex needs / social /inadequate support Alcohol abuse Respiratory conditions MDT Referrals:Patient Group Ave