Community React Team (CRT)
🏥 Overview
CRT is a responsive service dealing with rapid issues requiring response within two hours. The team’s aim is to reduce hospital admissions by ensuring patients are cared for at their place of residence.
📞 Referral
Contact
Call clinical triage on 0300 707 1221
7-day service: 08:00 - 20:00
Team Structure
CRT is made up of several specialist arms:
🏠 Hospital at Home
A dedicated multi-disciplinary team consisting of Occupational Therapists (OT), Physiotherapists and Nurses providing rapid, same day holistic care in a community setting.
Services Provided
| Intervention | Description |
|---|---|
| IV Antibiotics | Administration of intravenous antibiotics |
| Equipment | Provision of equipment |
| Subcutaneous Fluids | Administration of sub-cut fluids |
| Venepuncture | Blood taking |
| Support/Care | Provision of support and care |
| Investigations | Diagnostic tests |
| Observations | Monitoring of physiological parameters |
🤝 Health Outreach & Inclusion Service (HOIS)
HOIS provides care to the most vulnerable communities in society, supporting both individuals and families.
Target Groups
- Vulnerable migrants
- The homeless
- Sex workers
- Gypsy and traveller communities
Services Offered
| Service | Description |
|---|---|
| BBV Screening | Blood Borne Viruses (HIV, Hepatitis B/C) |
| TB Screening | Tuberculosis screening |
| Clinic in a Box | Mobile clinic services |
| STI Screening | Sexually transmitted infection screening |
Service Locations
The service is delivered at numerous locations including:
- Patients’ homes
- Clinics
- Out-of-hours night shelters
- On the street (homeless clients)
🫁 Community Respiratory Team
A multi-disciplinary team approach to management of:
| Condition | Description |
|---|---|
| COPD | Chronic obstructive pulmonary disease |
| ILD | Interstitial Lung Disease |
| Bronchiectasis | Chronic lung condition |
Services Provided
- Advice and information
- Treatment initiation
- Long-term management
- Support services for adults with confirmed respiratory diagnosis and their families
- Case management for patients prescribed oxygen (working with Hospital Oxygen Service at WWL)
Coverage: Ashton, Leigh, and Wigan Borough
👨⚕️ Advanced Care Practitioners (ACPs)
ACPs can assess, diagnose and treat a variety of presentations to help keep patients at home and reduce hospital admissions.
Suitable Presentations
| Presentation | Notes |
|---|---|
| UTI | Urinary tract infection |
| Chest Infection | Including pneumonia |
| Carer Stress | Support needs |
| Pain Affecting Mobility | Mobility issues |
| Cellulitis and Rashes | Skin conditions |
| COPD Exacerbation | Chronic obstructive pulmonary disease |
🩸 Home Blood Transfusion Team
Hours
Monday - Friday, 08:00 - 17:00
A small team of experienced nurses carrying out home transfusions for patients who cannot attend PIU at the RAEI.
Criteria
- Patient must be under a consultant
- Referrals generated from the hospital
Services
- Whole blood transfusions
- Platelet transfusions
Team Contacts
| Name | Phone | Hours | |
|---|---|---|---|
| Lisa (first port of call) | 07827 307652 | lisa.love2@nhs.net | Mon-Fri 08:00-16:00 |
| Caroline | 07747 790773 | caroline.kennaugh@nhs.net | Mon, Tue, Wed 08:00-16:00 |
| Linda | 07795 017404 | linda.davies210@nhs.net | Thu, Fri 08:00-16:00 |
🌙 Evenings & Nights Team
An unscheduled care community service providing an on-the-night response borough wide to:
| Patient Group | Service |
|---|---|
| End-of-life care | Patients in receipt of palliative care |
| Multiple long-term conditions | Patients in crisis |
| District nurse response | Patients requiring intervention |
See Also
| Resource | Description |
|---|---|
| Virtual Ward | Remote monitoring service |
| Frailty SDEC | Same-day care for 65+ |
| RAEI Contacts | Full contact directory |