CRAFT (rapid assessment)

Children’s rapid assessment and follow up team (CRAFT), Leicester Children’s Rapid Assessment and Follow up Team  

Background / Motivation

Avoid children and young people being admitted to hospital wherever possible and safe to do so.

The service model

Provided:

  • Clinical assessment and observations in their own home
  • Clinical reviews
  • Education and support for the children and young people/family (e.g. management of fever, dehydration, wheeze)
  • medication advice
  • Team delivered a telephone call to the family two hours from referral.
  • A visit was made within four hours if required.
  • Nurses could prescribe if necessary.
  • Could admit into hospital if required, or arranged open access to the Children’s Assessment ward at Leicester Royal Infirmary.

Opening times

Seven days per week, 10am – 8pm

Staffing

Four experienced paediatric nurses.

Who can refer

  • GPs
  • ED
  • Children’s admissions unit for children with mild-moderate episodes of acute minor illness

Evaluation

They saw up to 8 CYP per day in their own home (plus others for telephone support-only):

  • In Summer time – approx. 30-50 referrals in one month
  • In Winter time – approx. 60-70 referrals in one month

Notes

This service is no longer being commissioned. The team only covered the city so had a limited caseload.  To ensure equality of provision across the county would have meant increased capacity and significant investment. Leicester have extended the hours of their community nursing team and are working on how they deal with rapid access and minor illness follow up.

Contact for more information

Leicestershire Partnership NHS Trust website

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