Community Flow

COMMUNITY FLOW is a service that is delivered by the Trust and now forms part of the discharge process for patients. Community Flow can provide all, or some, of the following services following discharge (depending on the levels of need): 

• Check in at Home – A call within 24 hours of discharge to see how the patient is settling in at home
• Settle at Home – Up to 3 visits from a volunteer, can help with things such as essential shopping, collecting prescriptions, setting the heating etc
• Support at Home – 1:1 advice, guidance and support for up to 6 weeks from a Community Flow Co-ordinator. This is to try and avoid unnecessary readmission and is based around a ‘What Matters To Me’ conversation with the patient and can include solution focussed support, support to link in with useful organisations and networks within their local community, short-term practical help with things such as cooking, and effective service navigation.

What does Community Flow Provide? – Download HERE

Referrals

If you have a patient who may benefit from any of these services, please identify the patient to the Community Flow service

Who can refer 

Health and Social care professional – No self referrals. 

What will happen after referral 

One Northern Devon will telephone your patient to arrange for a volunteer to telephone or visit them at home.

How to refer

Download Settle and Support at Home Referral Form and return to rduh.supportathome@nhs.net, giving as much relevant information about the patient as possible.

If you would like to discuss these services, please call 01271 337799