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Community Independence Service launch

01 November 2016

From Tuesday 1 November the trust, along with partners, will be launching the new Community Independence Service (CIS). The service will help people in Hammersmith and Fulham regain their independence and remain in their own homes following illness and/or injury, avoiding unnecessary hospital admissions.


The three-borough service provide the best care for vulnerable patients when needed, without having to book an appointment. GPs will make the referrals using a speedy system based on their judgement.

The 8am to 8pm service delivers care through two pathways, using a multi-skilled team approach:

  • Rapid response – for urgent help to support people with an acute illness in the community (response within two hours)
  • Rehabilitation and reablement – to help patients achieve functional goals and improve their independence, and carry out and re-learn daily activities and practical tasks after an injury.
  • CIS liaison is also provided – working at A&E departments and pre-admission units to determine if people can be better supported at home or by other non- emergency services rather than through hospital admission.

The partnership works together, bringing their skills and knowledge to manage a patient’s care collaboratively, outside the institutional care setting. The partnership is made up of:

  • London Central and West Unscheduled Care Collaborativedsc_0025
  • Central London Healthcare
  • London Medical Associates – West London GP Federation
  • Central and North West London NHS Foundation Trust
  • West London Mental Health NHS Trust
  • Local Authorities in the City of Westminster, Kensington & Chelsea and Hammersmith and Fulham.

Dr Chris Hilton, director of business and strategy and clinical lead for intermediate care, said: “The unplanned care needs of patients are much more complex than they used to be, and the challenges we see in the health and social care system require a joined up service to provide modern and responsive care. The Community Independence Service (CIS) will mean that we can work across health and care systems to better respond to people’s health and care needs.”dsc_0034

Claire Murdoch, Chief Executive of CNWL, said, “This is a terrific service and I know that all the staff who are joining us today, transferred from other organisations, are really dedicated and committed to making this work well for patients. This is a modern service – delivering NHS and Social Care where and when people need it. It’s better for their recoveries and it’s a better way of using resources. GPs will make the referrals and that makes the service easier to use, starting with a GP’s judgement. No single organisation can do everything so this partnership is new for that reason. People will see more of these types of services and that’s a good thing. So today, welcome to the staff and let’s get to work.”