Crisis team aims to keep more people at home and out of hospital

A new health and social care team in Central Manchester will keep more people at home in an emergency and prevent them needing to go to hospital.

Manchester Local Care Organisation’s Central Manchester Crisis Response Team provides urgent assessments and treatment for people who have a health crisis. The team supports them to remain at home while their health needs, and any social care needs, are addressed.

North West Ambulance Service paramedics can now call the crisis team if they attend a 999 call in Central Manchester where they feel the patient could potentially be supported to stay at home.

The crisis team attend the patient’s home, stabilise them and make sure they are safe and put steps in place to address any longer term needs. Without this kind of intervention, paramedics would have no choice but to take these patients directly to hospital.

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The team is made up of advanced clinical practitioners (nurses or therapists with specialist training in extra medical skills), nurses, occupational therapists, physiotherapists, social workers, pharmacists and support workers. Using their complementary professional skills, this multi-disciplinary team provide assessment, treatment and any equipment the person may need.

The team will support a patient for up to 72 hours to deal with the immediate crisis and, where necessary, ensure they get longer term help from other community services.

Mark Edwards, chief operating officer at Manchester Local Care Organisation, said:

“Keeping people safely in their home and out of hospital whenever possible is better for the person and helps maintain their independence. The crisis team can deliver expert care at home where there wouldn’t usually be any choice but to be take the person into hospital. NWAS paramedics can now ring this new service from the patient’s home and they work quickly to attend, assess, address their immediate needs – wrapping care round them and looking at what else they might need to stay well.

“That might mean further rehabilitation support to maximise their independence and help them to remain at home. We’re also able to put people in touch with services and support in the community and voluntary sector. It brings the skills of health and social care staff together to provide a joined up solution that benefits people in Manchester.”

The new service builds on work in North Manchester, where the crisis team have already been working in partnership with NWAS in this way for some time. A similar service is due to launch in South Manchester early in 2019 once recruitment is complete.

It’s part of a wider umbrella service known as Manchester Community Response (MCR). MCR brings together a range of services that can help people avoid being admitted to hospital in the first place, and helps them get back home quickly with the right care if they do need to go into hospital.

The crisis team are part of the 2,700 staff from Manchester’s adult and children's NHS community health and adult social care teams who are now part of Manchester Local Care Organisation - a public sector partnership organisation powered by the NHS and Manchester City Council. It’s brought together out of hospital services in the city under one team for the first time to better coordinate care and put innovative new ways of working like the crisis team in place across the city.