Meet the teams
Dudley Clinical Hub and Care Navigation Centre
Dudley Clinical Hub is a single point of access for adult community services. Referrals are made to SPA via GP’s, care homes, NHS 111 and WMAS and are directed to the most appropriate service. We focus on maintaining a patients care whilst in their place of residence whenever possible, thus reducing hospital admissions.
Vision:
“To deliver a single integrated service that co-ordinates care and advice for patients and health and social care professionals that promotes community first and hospital where necessary.”
Aims:
- Ensure high quality evidenced based care is delivered to all patients at all times by:
- Involving patients and health care professionals in their care using a personalised care approach.
- Ensuring staff are enabled to deliver evidenced-based practice at the point of delivery.
- Initiating treatment in a timely manner to avoid hospital admission when appropriate and to keep people in their preferred place of care.
- To provide health education and support to the patient, carers and health professionals.
- To provide clear pathways for the management of long-term conditions, as well as acute conditions for housebound adults.
- Be a conduit between primary and secondary care.
The below teams are all based within the Dudley Clinical Hub
- Urgent Community Response Team – Advanced Clinical Practitioner, Medics, End of Life and OBI
- Care Home Education Team
- End of Life Rapid Response Team
- Own Bed Instead
- Dudley Clinical Hub SPA Triage
- Dudley Clinical Hub SPA Administrators
- Long Term Conditions
- IV/OPAT Team
Urgent Community Response Team
The Urgent Community Response (UCR) team provides a community rapid response to Dudley borough residents seven days a week, Monday to Sunday from 8am to 9pm. This service treats patients at home to avoid a hospital admission or readmission.
All referrals are triaged by a registered nurse and if clinically necessary seen within two hours (patients will also be seen later that day or the next day if required) by a multidisciplinary team of ACPs with support from consultants, the hospital frailty team, and colleagues in emergency care.
Patients who require a two hour response will need to be referred by 7pm on the day of referral.
The service is designed for people over 18 who are housebound and registered with a Dudley GP.
Please find the full inclusion and exclusion criteria – to ensure that the UCR team can help your patient – at the bottom of this page.
Any healthcare professional can refer a Dudley patient into the service. Below is a list of who is currently referring into the UCR service:
- GPs
- Practice Nurses and District Nurses
- Community teams
- Community Health and Social Care Services
- Nursing and Residential Care Homes
- Paramedics / 111
- Same Day Emergency Care team at Russells Hall Hospital
- Emergency Department at Russells Hall Hospital
