ART (Acute Response Team)

BrianNews

Whilst not brand new, a lot of people don’t know about our amazing work with the NHS in the Acute Response Team

The Acute Response Team (referred to as ART) is made up of a combination of the old NHS Rapid Response Model and All Seasons’ Care Workers to create the Acute Response Team.

The Team consists of a mixed group of professionals including a GP, Carer Workers, physiotherapist and NHS Nurses. This assures that any service user is fully and thoroughly assessed, monitored and cared for.

A team of nearly 10 mixed professionals, as well as the ART Team, gather around a board displaying all of their current service users. This highly detailed board shows every current service user individually listed alongside a succinct overview of their situation, medication, scheduled times to be seen, current condition and recommended changes to be made.

“The relationship between the Acute Response Team and All Seasons is fundamental.”
– Nikki Davies (Clinical Decision Maker)

Twice a day (8:30 & 15:00), every day the team goes through each service user on the board individually. Each service user is discussed for around 2-3 minutes each with a complete review of their situation, progress, issues, medicines and requirements. This discussion is very democratic one, an open floor where any team members with updates, concerns or recommendations can discuss them with the room.

GPs (and other professionals) are the only ones able to refer potential service users to the ART Team. This is all done through a one phone number which is great as it means that there is a single point of contact. This is the easiest form of referral process and allows the process to be efficient and quick.

Number of GPs in Thanet has dropped significantly, but one Doctor integrated into a dedicated ART team easily covers the same area and still allows direct consultations and additional care.

Whilst a diagnosis isn’t made by the doctor until they meet with the service user one-to-one, significant changes to care plans are made based on witnessed accounts, experience and professional opinion. These changes regard the care plan (such as some medications, required time and condition) and even equipment.

Usually the opportunity to have an in-depth analysis from a multitude of professional backgrounds is rare, many of these professionals in their own fields of work are usually too busy to schedule work in unison.

The intention of ART is to help both patients and existing medical services in tandem. There are multiple factors that have made ART successful, sought after and effective.

Pressures on other services

For the relevant healthcare services, whilst doing all they can to try and support those who need it, the level of care some service users require can be a huge strain on their resources. Physical space, staff availability and even lead issues with shared information and communication between different services can all be caused by an overflow in service user.

The partnership that the ART team isn’t just functional in the literal service of care it provides; it also prevents the breakdown in communication between services as it serves as the missing link between various healthcare services and social care.

Benefits to patients

For the patients, the service can properly attend to their requirements and help them with their needs through properly scheduled appointments in the comfort of the patients own home. This is both practical and sometimes a necessity, as the specific patients ART is focused on are those who usually find leaving their home/waiting at a hospital or clinic and then being seen by the right person somewhat impossible.

Does it work? …If so, how?

Serving as a central focal point of information between both patients and various healthcare services, being fully trained in a varied range of general and personal care and having the ability to visit patients one to one in their own homes, stopping the strain on existing healthcare services, ART is an invaluable service that since its creation has proven to be an incredible success.

How can they help service users?

The ART Team’s level of care ranges from holistic to end-of-life (however service users are often referred to EOL at this stage if necessary). The Team’s combined qualifications and experience mean that they are used to helping those suffering from long term issues such as, but not necessarily limited to:

• Exacerbation of long-term conditions – COPD, Asthma, Heart Failure etc.

• Exacerbation of neurological conditions or any long-term condition making the patient more frail – such as MS, Motor Neurone Disease.

• Worsening Frailty – needing more support for a short period of time.

• End of Life Care – crisis management

• Infections – excluding sepsis

• Recent onset of recurrent falls

• Poor mobility/being unable to cope at home due to a medical condition.

What is the process they use?

ART’s process is simple:

1. Accepted referral

2. Care Plan Created

3. Daily follow-up/review

4. Patient discharged to Primary Healthcare Services

Recently the Thanet NHS Clinical Commissioning Groups and Kent University published a paper with an overview and assessment of the ART service. Not only was the report detailed and honest, but it also sang the teams praise! If you want to know more, we suggest giving the report a read.

Meet the team of amazing care workers that All Seasons supplies to ART!

1. What qualifications do you have?

Julie – GCSE – English History, Math, Childcare, Typing & RSA Typing, Medication Qualifications/competency and NVQ Levels 2 & 3.

Chantal – Worked in community care for 6 years. Have been part of end of life team. Been medication assessor.

Debbie – Level 3 advanced medication and a Diploma in Health & Social Care Level 3.

Catherine – Level 3 End of Life, Level 3 Medication, Level 2 Dementia and Level 3 Diploma in Health & Social Care.

2. How did you become a member of the ART team?

Julie – All Seasons Supervisor and offered role in ART.

Chantal – I applied for the job on Indeed.

Debbie – Working in the community for years before going over to ART in February 2018.

Catherine – I was working with All Seasons as a supervisor when my Manager Maria approached me with ART, I was the first member of staff to go over.

3. Why/how did you begin a career in Care?

Julie – Mother worked with All Seasons.

Chantal – I chose a career in Care after being in hospital for a length of time in London – nurses inspired me with how I was looked after.

Debbie – N/A.

Catherine – With children firstly, then into Adult Social Care.

All Seasons’ amazing ART Team. Although only four carers strong, their role in the A.R.T is crucial.