Integrated Care Services (iCares)

What is iCares?

iCares is a service and an approach to managing adults with long term conditions irrespective of their diagnosis, location or age.

It includes a whole range of staff including nurses and therapists providing specialist community interventions which will

  • avoid unnecessary admissions to hospital
  • help maintain health and well being through care management
  • improve independence and function with community rehabilitation

It is open 8am – 8pm, 7 days a week.

Who can receive iCares?

Anyone 16+ years of age with a long term condition who has a Sandwell GP or lives in Sandwell (could have a different GP)

How do I refer?

There is open access to iCares – anyone can refer at any time

You can ring 0121 507 2664 (option 5)  / 07817 397 533 or email sandwell.icares@nhs.net

What happens when I make a referral?

The referral will be triaged by a clinician who will ring the patient and work with them to find out what their issues are at this point in time.

A clinical decision will then be made with the patient, as to when a response will be provided. This will be based on the conversation and other information gathered from case notes and the referral.

  • Urgent referrals, where we can avoid an admission, will be seen within 3 hours
  • Patients who are highly complex and at risk of becoming urgent will be seen within 72 hours
  • Those requiring rehabilitation will be seen within 15 days

We aim to match the patients clinical needs to the clinician with the most appropriate skills for their need at this time.

For more information about disabled access for this service, please click here.

Team

iCares is delivered by:

Community Matrons, Home Accident Prevention Officers,  Rehab Support Workers, Occupational Therapists,  Physiotherapists,  Speech & Language Therapists, Admin & Clerical staff, and Clinical Leaders.

For a little more information about the roles in iCares then have a look at the table below:

Case Managers / Community Matrons Community matrons are nurses who work intensively with patients with complex health needs, with the aim to improve the quality of care, while preventing unnecessary hospital admissions.

 

Occupational therapist Occupational therapists assess, rehabilitate and treat people using purposeful activity and occupation to prevent disability and promote health and independent function.

 

Physiotherapist Physiotherapists assess and treat people with physical problems caused by accident, ageing, disease or disability, using physical approaches in the alleviation of all aspects of the person’s condition.

 

Specialist nurses These are nurses specialising in a particular condition or care group such as Parkinson’s disease, MS, neurology and osteoporosis. They work within a multidisciplinary team with responsibility for planning, advising, assessing, delivering specific interventions, offering follow-ups, prescribing and referring on for further investigations or to another professional.

 

Speech and language therapist Speech and language therapists work with people who have communication and/or swallowing difficulties caused by accident, ageing, disease or disability.

 

What exactly does iCares provide?

A whole range of treatments in the community for a whole range of conditions:

Admission Avoidance, Virtual Ward,  Rehabilitation,  Reablement,  Elderly Frail,  Head Injury, Stroke,  Falls & Bone Health,  Progressive Neurology, Care Management,  Community Bed Management,  Therapy & Case Management into Intermediate Care,  Therapy & Case Management into End of Life Care,  and a Wheelchair Service.

 

NICE, (2017), “Integrated Care Services (iCares). Transforming and Integrating Community Services within admission avoidance, care management and community rehabilitation services.”: Click here to access the information.