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Hounslow Community Services

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Beschreibung

This is the core NHS contract for Hounslow Community Services, underpinning the delivery of integrated community-based care across the London Borough of Hounslow. Hounslow Community Services comprise a large-scale integrated community services model incorporating; • Adult community health services; • Children's community health services; • Multidisciplinary neighbourhood teams; • Long-term condition and specialist pathways; • Community nursing and therapy services; • Musculoskeletal (MSK) services; • Wheelchair services; • Diabetes services; • Urgent community response services; • Rehabilitation services; • Care home support services; • Integration with primary care; • Integration with local authority services; • Interfaces with acute and mental health services; and • Neighbourhood-based models of care. These services are delivered through multidisciplinary neighbourhood teams and specialist pathways operating across community settings, primary care, schools, care homes and patients' homes. Collectively, these services support the delivery of neighbourhood health, prevention, early intervention, proactive management of long-term conditions and coordinated multidisciplinary care, enabling residents to receive care closer to home and reducing reliance on hospital-based services. The contract operates through established clinical pathways, workforce infrastructure, digital systems, governance arrangements and partnerships across the Hounslow health and care system. It is a key enabler of integration across community, primary care, local authority, acute and mental health services, supporting seamless patient pathways, population health management and the strategic objectives of the Hounslow Borough Based Partnership and the wider Integrated Care System. The ICB's strategic intentions remain focused on strengthening neighbourhood-based delivery models, supporting integrated care and continuing the shift of care from hospital settings into community settings. The continuing requirement is therefore not simply for the delivery of individual community services, but for the operation of a fully integrated borough-wide community services model that brings together multiple service lines, workforce groups, delivery settings and system partners.

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