The aim of the Integrated Care Operations is to support the development of patient centred co-ordinated care for UCLH patients through collaborative working across the organisation and with the community, social and primary care.
The team (based on 4th Floor East, 250 Euston Rd or the Patient Lounge, 235 Euston Rd) continues its work to join up UCLH healthcare for the benefit of patients. Alongside other providers, GPs and Commissioners, we aim to reduce fragmentation and duplication of care provision, and maximise the efficiency of our healthcare systems.
Service management
Debra Glastonbury
Other contact information
Kieran McHugh, Project manager - Integrated Care Operations
kieran.mchugh3@nhs.net
The Acute Inclusion Health Team provides support to Inclusion Health patients across UCLH.
They provide a thorough assessment of referred patients through a Holistic Inclusion Health Patient Assessment (HIPA). The assessment is focused on determining unidentified and unmet health and social care needs and taking advantage of a patient’s hospitalisation to address those needs definitively.
The team is made up of a consultant (the only acute based Inclusion Health Consultant in the country), a clinical nurse specialist (CNS), and a support worker.
The Alcohol and Drug Service team is made up of two Clinical Nurse Specialists (CNSs), both are experienced in the management of drug and alcohol dependence.
The CNSs will assess patients and offer guidance on prescribing for opiate or alcohol dependence as well as more general management. Once the patient is stabilised and or medically fit the team can refer to community services that support on going sobriety.
The Camden Adult Pathway Partnership (CAPP) provides outreach nurse-led physical health interventions to vulnerable single homeless people living across 16 supported housing services in Camden.
The Health Outreach Pilot (HOP) is a pilot programme targeted at rough sleepers. The team consists of a nurse and a psychologist, linking in with local street outreach teams, and aims to improve the physical and mental health outcomes of rough sleepers in Camden.
The Homeless Intermediate Care Team’s (HICT) overarching aim is to improve the health and social care outcomes of people experiencing homelessness upon discharge. They help adults who are homeless, rough sleepers and those at risk of rough sleeping including those with no recourse to public funds (NRPF), in their transition out of hospital.
The Tobacco Dependency Service provides support to acutely admitted patients across the trust.
The team of qualified and experienced advisors offer evidence-based tobacco dependency treatment to inpatients. The innovative tobacco dependency treatment programme includes a combination therapy – Nicotine Replacement Therapy (NRT) and behavioural support.
UCLH@Home is an NHS recovery at home service that enables patients to leave hospital as soon as they are clinically stable, with agreement form their UCLH consultant in order to complete the remainder of their acute care pathway at home. This would be either following an acute emergency admission, part of an elective package of care or instead of an admission to a hospital ward.
