Kirklees Urgent Community Response Service
The aim of the Kirklees Urgent Community Response Service (UCR) service is to accelerate the treatment of urgent care needs closer to home and prevent avoidable hospital admissions.
Service detail
The Kirklees Urgent Community Response is available seven days a week.
The Kirklees Urgent Community Response referral line is open from 8am-5.30pm, with face-to-face appointments available from 8.30am until 8pm.
A referral can be made by calling 01484 443935.
Service criteria
| Inclusion | Exclusion |
|---|---|
| Over 18 years. | Is acutely unwell or injured, requiring emergency care intervention and admission to an acute hospital bed |
| Is living in their own home or a residential/care setting within Kirklees. | Is experiencing a mental health crisis and requires referral/assessment by a specialist mental health team. |
| Is in a crisis and needs intervention, within 2-hours to stay safely at home/usual place of residence. | Needs acute/complex diagnostics and clinical intervention for patient safety in hospital. |
| Is under the influence of drugs or alcohol. | |
| Pregnancy related complications. |
Please note:
An advance care plan or treatment escalation plan may well “trump” any of the above exclusions.
Referrals from 111, 999 Emergency Call centres, 999 roadside crew, community services and primary care will require a clinician to clinician referral into UCR in order to develop a care plan.
Clinical judgement will be applied and where the UCR Clinical team feel that the referral is not appropriate or the patients’ needs cannot be best met by the UCR service then the referrer will be offered advice and/or signposted to a more appropriate service.
Before referral into the UCR service it is requested that referrers do not tell patients that they will either
a) get a face-to-face response or
b) that this response will be within 2 hours
What may cause a person to experience a crisis?
- A clinical condition such as: a new or acute problem (such as an infection); or an exacerbation of a chronic condition, where the condition can be safely treated out of hospital, but where the functional consequences may mean that the individual is at risk of hospital admission.
- Serious illness, where treatment at home is in keeping with the person’s wishes as part of a pre-agreed treatment escalation plan, advance care plan, advanced decision to refuse treatment. The patient may wish to be treated at home or their usual place of residence in a crisis, rather then being admitted to hospital.
- A social care crisis, such as the breakdown of unpaid carer arrangements, which causes an immediate health risk to the individual
The following list is not meant to be exhaustive or used to exclude patients.
These are common clinical conditions or needs that may lead to a patient requiring a two-hour response in a crisis.
- Fall
- Decompensation of frailty
- Reduced function/ deconditioning/ reduced mobility
- Palliative/end of life crisis support
- Urgent Equipment provision
- Confusion/ delirium
- Unpaid carer breakdown
Please contact Locala SPOC (0300 304 5555) in relation to urgent catheter and diabetes care.