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North Somerset Rapid Response and Rehabilitation Referral Pathway . Receive referrals from GP’s, DN’s, social services, DCLN (based at WGH), Bristol hospitals REACT, specialist nurses trust-wide, Community Matron, Carelink, self-referrals, non-stat

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North Somerset Rapid Response and Rehabilitation Referral Pathway


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North Somerset Rapid Response and Rehabilitation Referral Pathway

Receive referrals from GP’s, DN’s, social services,

DCLN (based at WGH), Bristol hospitals REACT, specialist

nurses trust-wide, Community Matron, Carelink, self-referrals, non-stat

support groups, OOH, ECP, paramedics, RH/NH, hospices

Discharge referral in RIO

With ‘Inapproriate Referral’

as reason given Report

Generated in RIO and

Available/sent to PCT

monthly

Fill out referral form

Create referral on

RIO into New Referral

caseload

Referrer advised

during phone

conversation and

signposted to

appropriate services

Review and triage

referral

Follow-up & Discharge

Signpost to Appropriate

service

Referral

appropriate?

No

Signposted on to other

Services and/or

discharged from care

Recorded on referral

Form and in Progress

Notes in RIO

Rapid Response care should

be delivered within 14 day

target. Longer input may be

appropriate for specialist

Services, or as a result of a

delay in other services.

Care plan agreed with

Patient, depending on

mental capacity, recorded in

progress notes in RIO.

Assessment

undertaken

Referral

appropriate for

service?

Identify priority

patient need,

document on

referral form

All appropriate

professionals with

RR&R assess

patient needs