Acute Clinical Team – ACT

(part of Bridgend Community Resource Team)

Acute Clinical Team (ACT) is an acute intervention service designed to prevent admission from hospital or to support/facilitate early discharge from hospital. We have two main pathways of care:

Rapid Other Pathway: This pathway offers urgent assessment, intervention and support for patients in crisis. Equipment, emergency carers at home and a multidisciplinary assessment can respond within 4 or 24 hours depending on urgency of need.
This pathway also offers a domiciliary falls assessment service for patients who are too frail or for any other reason are unable to attend a day hospital assessment clinic. They can expect a multidisciplinary assessment at home with access to our other services if required.

Patients will be referred on to our sister services in Bridgestart, Bridgeway, Reablement or to third sector care (via our team’s social worker) as the patient needs.

Rapid Medical Pathway: We also offer a medical pathway to manage patients with acute medical illnesses at home and provide an array of interventions usually only offered in hospital care settings. We can work up frail patients who are unable to attend clinics. We provide intravenous antibiotics, fluids and other medications. We can manage Heart Failure at home and several other specialist areas of care. While not focused on falls – a patient may have fallen owing to an acute illness and the ACT can support GPs who identify sick patients who require increased support and medical monitoring who we want to avoid hospital admissions for.

Patients on this pathway can also access our multidisciplinary team, urgent care and other services if they require.

Who can refer to the service?

Rapid other pathway: Anyone can refer (patient, family, carers, GPs, other HCPs, concerned friends). They can call the CRT Common Access Point or send a faxed CRT referral. Common Access Point will then triage the referrals and calls to the most appropriate CRT team (which may well be ACT)

Rapid Medical Pathway: Referral can only be by registered HCPs. HCPs can call the ACT HOT phone on 07773256619 and they can immediately speak to a Clinical Practitioner for a clinician to clinician discussion on the suitability of a patient for the service.

Please see the attached pathways for full details:

Referral Criteria

Rapid Other: Any patient facing a health and/or social care crisis that may result in a hospital admission if no interventions are implemented. Patients who require a falls assessment who are unable to attend day hospital clinics.

Rapid Medical Pathway:

Exclusion criteria (for both pathways):

Who will they be seen by?

Our ACT team includes Consultant physicians, Advanced Clinical Practitioner/Clinical Practitioners, Nurses, Physiotherapists, Occupational Therapist a social worker.

We also have within the wider CRT dieticians, Speech and language therapists, specialist pharmacy technicians, a sensory team, telecare services and care staff at our disposal.

What can people expect from the service?

ACT provides Comprehensive Geriatric Assessment, domiciliary Falls assessment and medical assessment capabilities and has extensive clinical capabilities for a community based team.

Who does the service signpost/refer to?

We will signpost on to other CRT teams, Care and repair, Third sector care, Third sector services (including charitable organisations), primary care, secondary care, tertiary services, district nursing and social services/network teams.

Referral form >

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  • Local and national support organisations

    Organisation Contact number Website
    Age Cymru 08000 223 444 Age Cymru
    Ageing Well in Wales 02920 445030 Ageing Well in Wales
    Alzheimers Society 0300 222 1122 Alzheimers Society
    Age connects morgannwg 01443 490650 Age connects morgannwg
    Older people’s commisioner for Wales 08442 640670 Older people's commisioner for Wales
    Welsh Local Government Association 029 2046 8600 Welsh Local Government Association
    Bridgend County Care and Repair 01656 646755 Bridgend County Care and Repair
    Bridges into Work 2 01656 815317
    Communities First Bridgend 01656 642605 Communities First Bridgend
    Careers Wales 0800 028 4844 Careers Wales
    Adult Community Learning 01656 642729
    BAVO 01656 810400 BAVO
    Local Community Coordinators 07815 579082 Local Community Coordinators