Hospital discharge information

Contact Ceartas Advocacy for more information on: 0141 775 0433

Advocacy is a way to help you to make your voice stronger and to have as much control as possible over your own life. Advocacy workers will help you get the information you need to make good choices, and give you the help you need to express yourself clearly.

In East Dunbartonshire, independent advocacy is provided by Ceartas Advocacy.  Independent advocacy is there to help you decide what you want to say and then support you to say it.

Independent advocacy can support you in situations such as formal or legal processes and can also find you legal advice. You can also email them at: info@ceartas.org.uk

The team can be accessed via the care home staff. Social Work can be contacted directly on 0141 355 2200 or email carehomesupportteam@eastdunbarton.gov.uk

The Care Home Support Team is an integrated multi-disciplinary team which provide liaison services to care homes in East Dunbartonshire.

The team includes care home liaison nurses, community psychiatric nurses, social work, dietetics, pharmacy, physiotherapy and occupational therapy. The objective of the team is to support care home residents, staff and relatives by providing specialist input and promoting best practice to ensure that all residents receive high quality care.

You can contact the Community Alarm Team by calling: 0141 776 8046 

Service hours: Monday to Friday, 9am to 5pm

The community alarms/responder service is called Hourcare 24 which can be stand-alone or can complement your care package to provide additional support and peace of mind. This is an emergency response service that operates 24 hours a day, 365 days a year. The team provide all aspects of the service from equipment installation to call handling and a response service.

The Hourcare 24 service will be able to respond to your problem either by:

• Contacting a friend or relative whose details you have given us
• Sending one of our mobile officers to assist you
• If necessary, alerting one of the emergency services.

For further information visit the website: Community Alarm Services  or call the telephone number above.

The community diabetes specialist nursing service is a specialist service and is by referral only from your GP or practice nurse.

Service hours: Monday to Friday, 8.30am to 4.30pm

The community diabetes nursing service provides specialist diabetes care and advice to people living in East Dunbartonshire with diabetes, who have been referred to the service.

Following assessment, a diabetes specialist nurse will plan individualised care plans in partnership with patients, their families and carers whilst promoting self - management to achieve agreed outcomes.

The service also offers structured group education for individuals who are newly diagnosed with Type 2 diabetes and specialist training and support to other health care professional who are involved with diabetes care. You can email them at: EastDunbartionshire.CommunityDiabetesService@ggc.scot.nhs.uk

You can contact the Community Occupational Therapy Team, on: 0141 355 2200.

Service hours: Monday to Friday: 9am to 5pm

The Occupational Therapy Team provides a specialist service to people of all ages who are assessed and require it. The service is also available to carers.

The team can arrange for you to have assistive equipment or for your home to be adapted to help you to be as independent as possible. Examples include handrails, bath seats, chair raisers.

Anyone can be referred to the team by phoning the number above.

Following a referral to the service, the team will arrange for an assessment to be carried out. This will determine your needs and allow staff to develop a plan of action with you.

You can contact the Community Rehabilitation Team (CRT), on: 0141 232 8213.

Service hours: Monday to Friday: 8.30am to 4.30pm

The CRT provide a service to adults that is tailored to support people in their own home after discharge from Hospital. The service is provided by a multi-disciplinary team (Dietician, Community Psychiatric Nurse, Rehab Nurse, Physiotherapist, Occupational Therapist, and Rehab Support Workers) with consent from the patient, working towards agreed rehabilitation goals.

This is a goal-based service, with no set timescale for input. Length of input dependant on goals, response and engagement.

We are happy to be contacted to discuss any individual referrals and be involved in complex discharge planning. You can also email them at: EastDun.CRT@ggc.scot.nhs.uk

You can contact the Community Treatment and Care services (CTAC), on: 0141 304 7408.

Service hours: Monday to Friday: 8.30am to 4.30pm

(CTAC) deliver a range of services including wound care, leg ulcer management and suture/staple removal. The service can also administers prescribed injections, and take blood samples (phlebotomy) and blood pressure readings when requested by GPs.

The service is available to people living in East Dunbartonshire who require access to clinical nursing care. All referrals will be offered an appointment within a time scale relevant to clinical need.

Service hours: Monday to Friday
8.30am to 4.30pm: 0141 304 7447
4.30pm to 10pm: 0141 578 2181

Saturday and Sunday
8.30am to 10pm: 0141 578 2181

The District Nursing Service provides clinical nursing care to people who are housebound or require care in a homely setting. The service is committed to delivering high quality compassionate care.

Following assessment, a named nurse will be responsible for planning, delivering and evaluating individualised care, in partnership with service users and carers. They will promote and support self-management to enable people to manage long term conditions using a person-centred approach.

District nursing teams are aligned to GP practices. Each GP practice has a named district nurse who provides a leadership role for communication and coordinating care. District Nurses. Triage referrals to the service and will respond within a timeframe that is suitable for clinical need.

You can contact the Care at Home Service by calling: 0141 578 2101

Service hours:

Monday to Friday, 9am to 5pm - 0141 578 2101
Out of hours: 0141 578 2181

To request an assessment, please call the number above. An assessment must be carried out to find out what help and support is needed. This is carried out by a health and social care professional and is a free service.

The Care at Home Service also known as domiciliary care, home support, home care services and home helps-, provide care and support to individuals in the comfort of their own home.

The aim is to support people to live as independently as possible in their own home and receive care that meets their assessed needs.

Home care involves having someone come into your home and provide help with a range of care needs, which include assistance with personal care such as:

• Washing and dressing.
• Preparing meals and eating.
• Taking medication.
• Going to the toilet.
• Getting up and going to bed.

Referral to this teams/service is practitioner led and not open access.

The Hospital Assessment Team is a social work team which supports East Dunbartonshire adults to have a safe and timely discharge from hospital. They work in partnership with patients, and their families, and health, intermediate care and third sector colleagues to ensure appropriate, personalised and successful discharge options.

They facilitate complex discharges and referral to the service is only via the hospital team.

Referral to this team/service is practitioner led and not open access.

By offering a number of intermediate and interim beds in East Dunbartonshire, we aim to help maximise people's rehabilitation potential and slow decline.

The service is available to a range of older people, including those who may be clinically fit for discharge from hospital-but who still need some assessment or rehabilitation-and also those who are waiting for the provision of a Care at Home package, or other homely destinations to be available for their needs.

This service aims to reduce pressure on acute services and unplanned beds, which in turn, will provide a better experience for older people moving through our care and support systems.

We know that intermediate care can help shift the balance of care away from hospital and can reduce the need for alternative, longer-term care services, such as home care, or permanent admission to a care home.

Please call the East Dunbartonshire Citizens Advice Bureau on 0141 775 3220

The referral form can also be accessed by clicking the link to the Income maximisation service below:
Income Maximisation Service: Survey Powered by Webropol.

Your health and recovery are the priority, so for you, your carer and your loved ones, finances may be the last thing on your mind, but you or your carer may be entitled to financial assistance.

We have teamed up with East Dunbartonshire Citizens Advice Bureau (CAB), who have been commissioned to provide Money Advice (Income Maximisation Service) to East Dunbartonshire residents.

They can give support and information on a wide range of issues including:

• Money advice
• Universal Credit
• Power of Attorney
• General advice
• Consumer debt
• Housing (mortgage, rent arrears)
• Utilities (gas, electricity, telephone).

You can contact the Older People's Mental Health Services, on: 0141 232 7300

Service hours: Monday to Friday, 8:30am to 4:30pm

Woodlands Mental Health Resource Centre
15-17 Waterloo Close, Kirkintilloch
East Dunbartonshire
G66 2HL.

East Dunbartonshire Older Peoples’ Mental Health Services provides medical and psychological approaches to promote positive mental health.

The team works closely with partners to help people to maximise their potential and live well. Services are available to adults over the age of 65+ who are experiencing severe and enduring mental health problems such as depression, anxiety, memory loss and dementia.

Services include out-patient appointments, counselling, anxiety management, health promotion, medication management, and group or family work.

All services are accessed through referral from GPs or other specialists. The service will respond within a timeframe that is suitable for the clinical need.

You can contact the District Nursing Palliative Care Service, on:

Service hours: Monday to Friday
8.30am to 4.30pm: 0141 304 7447
4.30pm to 10pm: 0141 578 2181

Saturday and Sunday
8.30am – 10pm: 0141 578 2181

The East Dunbartonshire District Nursing, Palliative Care Service work in partnership with a wide range of services to support people requiring palliative care in their own home or homely setting.

District nurses are highly experienced in the assessment and delivery of care for people who have palliative care needs and will refer to other services when required to support people who wish to remain at home.

District nursing teams are aligned to GP practices.  Each GP practice has a named district nurse who provides a leadership role for communication and coordinating care. District Nurses triage all referrals to the service and will respond within a timeframe that is appropriate for individual need.

You can contact the Reablement Service, on: 0141 355 2200

Service hours: Monday to Friday, 8.30am to 4.30pm

The reablement service provides support for up to six weeks with the aim of giving you the confidence to live in your own home for as long as possible. Team members supporting you through this service include home carers, occupational therapists, and other support staff. This team will work with you to help you regain the skills you need to maintain as much independence as possible.

An assessment is carried out by an occupational therapist or an assistant manager to agree on the goals that the Reablement home carers will work towards achieving with you at home.

During the six weeks, your care package may adjust to meet your ongoing needs and progress through the Reablement pathway.

Re-ablement is a continuation of the assessment in your own home and there is no charge for re-ablement. The charging policy will apply if you receive a service following re-ablement. Personal care is free for people over 65. Some other care tasks, e.g. help with housework, shopping etc. may be chargeable. You can also email them at: socialwork@eastdunbarton.gov.uk

You can contact the Adult Intake Team, on: 0141 355 2200

Service hours: Monday to Friday, 8.30am to 4.30pm

Growing older can mean you are not always able to do as much for yourself as you need to or would like to. Before deciding what help is right for you, a social worker will carry out a Community Care Assessment which involves talking to you and possibly your family, friends or other people who know about your life and your present circumstances. This assessment will show what kind of service you need. If it is agreed that you do need to leave your home to be cared for by others, then the assessment will also say which kind of home is best for you.

For further information, visit our Care Homes and Residential Nursing Care page or please call the telephone number.

You can contact Carers Link on: 0141 955 2131

Service hours: Monday to Friday, 8.30am to 5pm

Carers Link provides information and support to unpaid carers who live in East Dunbartonshire or care for someone who lives in East Dunbartonshire. If you look after a family member or friend who cannot manage without your support, you are a carer. You may be “doing what anyone would do” but we can help you.

You may simply be looking for some information, or one-to-one support or our sessions and groups for carers. You can also email enquiry@carerslink.org.uk

You can contact the Supported Living Team, on: 0141 578 2101

Service hours: Monday to Friday, 8.30am to 4.30pm

The HSCP Supported Living Enhanced Home Care Service, aims to support service users who are assessed as being the most vulnerable, some of whom have long term health conditions, to live in their own homes for as long as is practicable.

Supported living (SL) offers a more flexible approach to home care than a traditional mainstream service due to the increased time that the home carers can spend with service users and the ability to “flex up” a care plan to adapt to an identified, short-term change in need.

The service provides an individualised approach to both personal care, fluid, and nutrition needs, as well as promoting positive mental and physical health through social integration. The service aims to implement person centred care plans that are responsive to identified need and risk whilst providing opportunities for engaging in meaningful and purposeful activities to help maintain interpersonal relationships and support community engagement.

If you have been referred to the Enhanced Supported living service, the team will arrange for an assessment to be carried out. This will determine your needs and allow staff to develop a plan of action with you.

You can contact the telecare service, on: 0141 776 8046

Service hours: Monday to Friday, 9am to 5pm

If you or the person you care for lives alone, or are perhaps at risk from falls or sudden illness, the Community Alarm and Telecare Service can offer reassurance to you and your family to maintain independence in your own home. It gives you, your family and carers confidence that you can get help quickly in a crisis. The service provides a round-the-clock lifeline to the outside world at your fingertips.

The telecare service is part of the Community Alarms Team and involves the placing of discreet sensors around your home to monitor environmental risks-, such as smoke, flood or gas and personal risks, such as falls or seizures. The sensors work in conjunction with our community alarm service.

Information about our telecare services can be found on the Community Alarms and Telecare Services web page.

We can also arrange to demonstrate these services in your own home without obligation. Telecare equipment requires a referral from Social Work or Health Professional. For further information call 0141 776 8046