Staff member visiting someone in their home.

What do we do?

We provide clinical care and support to help people stay well for as long as possible in their own homes. We help to:

  • Reduce unnecessary admissions to hospital.
  • Facilitate timely discharges from hospital back to individuals place of residence.
  • Allow people to stay out of long-term care for longer.
  • Reduce people needing to go into residential and care homes.
  • Provide rehabilitation to promote health and independence.
  • Improve people’s experience of healthcare.
  • Support people at the end of life to die in their preferred place of care.

Our integrated teams bring together community nurses, occupational therapists, physiotherapists, paramedics and support staff to work as one team to serve a local area. These teams work alongside GPs to provide clinical care for people in their home or in a site in the community.

Who we support?

We provide services to adults who cannot get to a clinic or primary care service, such as a GP, because of health reasons. The type of support provided by the teams is targeted to meet the individual needs of people and their carers or family.

You must be registered with a GP in Bristol, North Somerset or South Gloucestershire to access our services.

Service provided by Sirona

Contact is through our Single Point of Access:

Tel: 0300 125 6789

Our services

We provide an integrated service that supports patients in four areas of care. Click on the headings below to see more information about each service:

Community Nursing

Community nurses (sometimes known as district nurses) mainly visit people at home who are unable to get to services based at the doctor, hospital or other clinics. Our nurses also see people in clinics or other settings to provide specific services. Community nurses assess people’s needs and specialise in:

  • Nursing care and advice for people who are really unwell but can be looked after at home.
  • Nursing care and advice after an operation.
  • Palliative and end of life care.
  • Care and advice to manage a long-term health condition.
  • Wound care and advice.
  • Advice about continence problems.
  • Referring people where appropriate to other services.

Although the community nursing service can provide nursing care 24 hours a day, they mainly visit patients in the daytime between the hours of 8am and 8pm.

Urgent Community Response

Our Urgent Community Response provides community based urgent care, preventing unnecessary hospital admissions or attendance to the Emergency Department. We specialise in the management of short-term illnesses in adults in the community.

Referrals are assessed and prioritised to ensure we can provide safe and effective care quickly.

Rehabilitation

Our rehabilitation service work with you to improve your function, mobility and confidence after an illness or injury. Our main aim is to help you become as independent as possible.  Our team work closely with you, your family and carers to provide you with the best treatment and advice.

We see people where they live when they are unable to travel to the hospital or community clinic because of their condition.

Support After Discharge from Hospital (Discharge to Assess)

Discharge to Assess is the assessment and support given to people who are returning home after a period in hospital.  Community therapists and others provide support to people to continue their rehabilitation and recovery at home.