Community Assessment Support Service - CASS

The new CASS service is the first phase of work to transform community based health and social care services and incorporates existing services from Pennine Acute Hospital Trust Community and Manchester City Council.,

CASS is a new integrated service delivery model that aims to avoid admissions (step up), reduce length of stay (step down) and improve citizen’s/carer’s experiences through better access to the right intervention, at the right time, delivered by the right health or social care worker.

The services in scope are as follows;

  • Crisis Response,
  • Intermediate Care (bed based)
  • Intermediate care (home based)
  • Some of the Primary Assessment Team
  • Reablement Services.

The CASS service delivers rehabilitation to the citizen and carer promoting independence, and self management. The service is  comprehensive and reflect citizens’ needs at distinct phases of care, identifying pathways and process models to ensure seamless transitions. It will provide high quality, evidence based, safe services, delivered in a personal and compassionate way.

Hours of operation

The Community Assessment and Support Service is available between 8am-5pm, with visits to deliver planned rehabilitative activity between 7 am-10pm, 7 days a week and 365 days a year

Crisis Response Assessments are available from 9am until 10pm, 365 days per year. The last referral will be accepted at 20.30pm

Out of Hours Service

Referrals or enquiries that cannot be assessed after 5pm will be prioritised. If unable to wait until an assessment can be completed the next day, the referral will be passed to the appropriate Out of Hours Team. This includes District Nursing; Go to Doc (Primary Care), Reablement out of hours team, Emergency Duty Social Work Teams.     

Referral sources

Referrals to the service will come via many sources and include self referrals, Health Acute and Community Providers, Social Care Teams, Housing teams, Community Alarm Service, North West Ambulance Service, Mental Health Teams, Voluntary and Private Sector.

Referrals will be screened and triaged by the team so that the referral is followed up by the most appropriate worker within the service. Assessments that are required immediately in order to avoid hospital admission will be carried out by the Crisis Response team and will take place within 2 hours (1 hour if deemed high priority).

Contact telephone numbers for the service are as follows;

CASS Team  Point of Entry: Harpurhey District Office

Telephone numbers 0161 667 3293/3292

Crisis Duty mobile : :  07816064131

Email. pah-tr.cass-service@nhs.net

 

Crisis Referrals come through the team point of access

Any referrer who requires discussion on acceptance, criteria, or clinical discussion.

Trusted Assessments will also come through this point of access.