Following a referral, one of Gray Healthcare’s experienced RMN assessors will complete a free full clinical and risk assessment.  They will liaise with current ward staff and care co-ordinator to build a comprehensive picture of the patient including: triggers, early warning signs, risks and needs; to determine the appropriate levels of community input.

An internal MDT meeting will determine if we can offer the appropriate personalised package to help the individual make the smooth transition from hospital to the community.  Factors will include levels of staffing, psychological needs, rehab needs, risk reduction plan and if necessary the type of property and location.  We are not always able to accept each individual but if we are, our local commissioner will present our proposed programme of care and funding structure to the referrer and local funder.

Should funding be granted we aim to provide the full package of care within 4 – 6 weeks.  In order to meet this time scale, we arrange a pre-discharge meeting between the care co-ordinator, ourselves, the current provision and the service user.