Enfield Rapid Response Service

Enfield Integrated Rapid Response Service

Enfield Rapid Response is a nurse-led service which can offer short-term intensive support, including nursing and therapy, following our initial assessment.

We can then also deliver short term social care and work with social services to arrange a longer term package. We will see patients who can be managed in the community but are at risk of admission to hospital in the next 48 hours. 

 

Operating Hours: The service is open 08:00 – 22:00 (last referrals accepted at 20:00) 7 days a week (including bank holidays), 365 days of the year.  The team will respond within 2 hours.

Eligibility criteria

  • Enfield residents, aged 18+
  • Immediate risk of hospital admission, or
  • Risk of acute deterioration necessitating hospital admission in the next 48 hours

Referral reasons and common conditions covered

  • Asthma
  • Cellulitis
  • Congestive heart failure– where the patient has a National Early Warning Score (NEWS) under 4
  • Dehydration
  • Elderly frail patient who has become symptomatic and at risk of admission (such as sudden reduction in mobility new confusion)
  • Exacerbations of chronic obstructive pulmonary disease where the patient has a NEWS of less than 4
  • Falls without apparent injuries, in particular without hip pain
  • Hypertension
  • Patients at end of life – out of hours and not known to district nurses or palliative care
  • Respiratory tract infection
  • Simple head injury
  • Unstable diabetes (note that Type 1 diabetes isn’t an exclusion)
  • Urinary tract infection, blocked catheter with pain or haematuria from infection

Please note this list is not exhaustive, if unsure please telephone 0208 702 5681.

Exclusions

  • Mental health crisis being the sole diagnosis
  • Care package/provision being the sole reason for referral in the absence of acute health/functional decline 

How to refer

Call Rapid Response on 0208 702 5681.

If unable to speak to a team member, leave a voicemail with your name and contact details and a member of the team will call back.

 

Following the call, if the referral is deemed suitable, please send by email a recent medical and medication history, and/or hospital discharge summary to:

beh-tr.ECSCommunitycrisisresponseteam@nhs.net