Alternatives to acute admission to RCH
Acute medical admission may not always be in the best interests of the care of our patient. With frail patients, this can hinge on frank prognosis identification and considering end of life care planning early on in a care episode.
Community Care Escalation
Care Home Support Team can independently review and advise on those patients in Care Homes (residential and nursing)
For patients with an acute medical need (treatment or diagnostic) that cannot be achieved with the above services in their own home, where an acute admission to RCH is inappropriate (poor prognosis or ceiling of care ie Rockwood 5 or more, multiple comorbidities, clear advance directive documented, frailty etc). CATU patients should be likely to benefit from some POC diagnostics +/- witnessed response to initial treatment (eg iv fluid), and to go home or to bedded care after CATU care. CATUs are located at CRCH, Bodmin, WCH.
CATU referral - with the CATU directly, or with the Acute GP service
*Please ensure an accompanying TEP & patient profile (+/- expected death form where appropriate)
Frailty Advice Line (aka Silverline)
The RCHT Geriatricians are available to support primary care and community-based colleagues with any queries to prevent hospital attendance and support decision making in the community. Call 01872 252161
These are managed by the palliative care specialist nurses, please click the link above for more detail
Adult Mental Health referrals are handled through the acute psychiatry services
Social Care Escalation
For patients with progressive or predictable care needs that have no acute medical concern to require admission (eg dementia patients requiring a package of care).
Acute Respiratory Infections clinics have been set up to cope with recurrent high demand waves around RSV, Strep A and ongoing Covid concern. Click the link for further details.
Urgent Treatment Centres are offered in Camborne-Redruth and West Cornwall Hospital for acute primary care with diagnostics
Minor Injury Units are offered in Camborne-Redruth, Bodmin, Falmouth, Newquay, Liskeard, St Austell, Helston and West Cornwall hospital for minor injuries
This is based at RCH for frail patients that need short stay work up (<12hrs) or treatment and can then return home