Integrated community and mental health services

These provide care in people’s homes and focus on keeping them out of hospital, or supporting them to return home when they are leaving hospital, but need extra support.

Most people’s first point of contact with the NHS is when they either visit their GP or have to go to hospital if they become very unwell.

However, in many ways, the ‘glue’ that holds these services together are the integrated community services provided by Cambridgeshire and Peterborough NHS Foundation Trust (CPFT). These provide care in people’s homes and focus on keeping them out of hospital, or supporting them to return home when they are leaving hospital, but need extra support.

CPFT brings together community and mental health services for adults and older people in Cambridgeshire and Peterborough. These are organised into 14 neighbourhood teams which are designed to improve joined-up working between primary care, community staff and mental health.

This way of working makes it easier to keep people safe and well in their homes by joining up community resources for over 65 year olds and adults with longterm conditions requiring community services (does not include mental health services for people aged 18-64 years old).

They work closely with GPs, primary care, social care and the third and independent sector to provide joined-up, responsive, expert care and treatment. They operate 365 days a year. Most referrals into these services come from GPs, hospitals and other health professionals.

The multi-disciplinary teams include:

• integrated care workers

• mental health nurses

• district nurses

• occupational therapists

• physiotherapists

• multi-disciplinary team (MDT) co-ordinators. The Trust also provides a number of specialist services that support the neighbourhood teams with expert assessment, treatment and advice. These include:

• Diabetes

• Respiratory

• Tuberculosis (TB)

• Heart Failure

• Cardiac rehabilitation

• Parkinson’s disease

• Multiple sclerosis

• CFS / ME

• Epilepsy

• Tissue viability

• Continence

• Dietetics

• Podiatry

• Neuro rehabilitation

• Speech and language therapy

• JET and out of hours (OOH) services.

What happens to me at the end of your service?

During the time we are providing support we will work with you to decide on what care or support you might continue to need. We can help you, your family and carers, find this care or support. For example, you might choose a referral to social care if you will need longer-term care. You might also choose to have a referral to our community therapy team if you require a longer period of rehabilitation. Sometimes, for whatever reason, intermediate care does not meet all your health and care needs and you might need a hospital stay, hopefully for a short period of time.

JET continues to support patients

The Joint Emergency Team (JET) continues to support more people at home.

JET is an urgent two or four hour response service that supports people over the age of 18 in their home environment when they become very unwell and need urgent care, but do not need to go to hospital. It comprises a paramedic or nurse who will visit the person at home to assess and arrange care for them if they are unwell and need urgent care, but do not need to go hospital. It also links to more services, such as district nurses or occupational therapists.

Contact PALS

The Patient Advice and Liaison Service (PALS) provides service users, their carers and families with help, information and support to resolve concerns quickly and efficiently.

PALS achieves this by liaising with staff and managers, other PALS services and health-related organisations. We provide information about the Trust’s services and other health-related issues and we act as a gateway to independent advice and advocacy support from local and national sources, including Independent Complaints Advocacy Services.

Your feedback is really important to us, and we also like to hear when our services are good. If you would like to compliment any of our staff please contact PALS and we will pass on your comments.

Details about PALS information and complaints leaflets in languages including Bengali, Lithuanian, Mandarin, Polish, Russian, Urdu, Portuguese and Slovakian, are available below. If you need information in a language not listed, please contact us.

For more information contact:

Telephone: 01223 219 444 (Office hours Monday to Friday)

Freephone: 0800 376 0775 (Office hours Monday to Friday) Confidential email: palsandcomplaints@cpft.nhs.uk

Postal address: PALS, Cambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn Hospital, Cambridge, CB21 5EF

Due to Covid the Trust will consider remote working wherever possible, taking into account the best interests of patients. Online appointments, using the Attend Anywhere system will be used where appropriate, but due to the nature of the services intermediate care and JET largely remain face to face.

Cambridgeshire and Peterborough NHS Foundation Trust