The East Lothian Prevention of Admission pathway is hosted within the East Lothian Rehabilitation Service (ELRS) and is delivered by a team of Physiotherapy and Occupational Therapy practitioners based within the community.
The team’s role is to support patients from a therapy perspective who are at risk of admission within the next 24 hours and for whom the GP is happy to manage medical needs at home. A comprehensive clinical assessment will be completed, and any interventions provided, aiming to manage the patient safely at home.
The core hours of the service are Monday – Friday 8am – 4pm.
Currently there is no provision to accept referrals out of hours.
Interventions provided include:
- Transfer assessment and provision of aids
- Mobility assessment and provision of aids
- Assessment of activities of daily living (either independently or with support of carers/family)
- Graded practice of selected activities to improve function
- Onward referral for package of care as indicated
- Onward referral/link with community services as indicated
Who can refer:
GPs, DN’s, ANP’s
For same day assessment, referrals MUST be received before 2pm.
Who to refer:
Residents of East Lothian who are deemed to be at risk of hospital admission but can be medically managed at home.
Who not to refer:
Patients who are not at immediate risk of admission – please refer for urgent domiciliary physiotherapy via SCI Gateway for review within 5 days and/or Community OT for urgent input.
Patients with potential undiagnosed significant injury (e.g. acute onset significant back pain, at risk of fracture).
How to refer:
Via telephone
01620 642 834 between 08.15 – 15:45 (If you are unable to get through on this number, please call our admin team on 01620 642 920. Your name and number will be taken, and a clinician will call you back asap to discuss your referral).
We are happy to have clinical discussions around referrals/referral pathways.
Home – Access to a Better Life in East Lothian – ELRS Digital Platform with advice, resources and external links to support self-management
