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We commission a range of services which fall under our Age Well priority:

Community Equipment Services

There are currently two services in the area (Bedfordshire & Luton CES and Milton Keynes CES) – both provided by Millbrook Healthcare.  The service is jointly commissioned by health and social care, but operationally managed by the team in the Integrated Care Board providing equipment to support patients remain within their home and promote their independence and safety. 

There are over 2,000 Prescribers who can access the service using a unique PIN number.  These include Nurses, Discharge Coordinators, Occupational Therapists and Physiotherapists.  The service provides equipment for all ages following an assessment by a Prescriber. The range of equipment includes profiling beds, pressure care, suction machines and manual handling, bathing & toileting equipment.

The CES team are currently working with all Partners to develop an Integrated Community Equipment Service across Bedfordshire, Luton and Milton Keynes within the new contract, which is due to commence in April 2024.  This new integrated approach will provide a more cost-effective service, ensure consistency with equipment provision and reflect the equipment requirements of residents in the changing world.  The contract will reflect true partnership working across health and social care.

Patients can also complete an online self-assessment to access a range of small items of equipment that may maintain independence.  This assessment can be accessed via: 

https://millbrook.store/BedfordLutonSelfAssessment/default.aspx  (for Bedfordshire and Luton residents)

https://millbrook.store/miltonkeynesselfassessment/ (for Milton Keynes residents)

There are several questions that the patient, or a member of their family, needs to complete regarding their current level of function and home environment.  A selection of equipment is recommended, and the equipment is delivered to the patient by a Trusted Assessor Technician, who ensures it is appropriate to meet their needs and within their home environment.  However, if the outcome of the assessment is that the patient would benefit from a full assessment by Health or Social Care, all relevant contact details are provided.

All equipment is provided to the patient on a loan basis and should be returned when no longer required.  The equipment is then thoroughly cleaned, tested and recycled for further use. 

If you would like any further information, please contact the team – ces.team@nhs.net

Frailty and Falls

Frailty is a distinctive health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. Services are commissioned for people with frailty who are identified as being at risk of unpredictable deterioration in their health resulting from minor stressor events.

Services include:

  • A comprehensive review of medical, functional, psychological and social needs based on the principles of comprehensive geriatric assessment.
  • Interventions for older people with frailty which improve overall physical, mental and social functioning, using a goal-orientated rather than a disease-focused approach, taking account of individual needs and personal assets, rather than deficits.
  • Shared care and support plans by involving older people with frailty, their families and carers throughout all stages of the process.
  • Integrated health and social care services across primary care, community care. Hospital care, social and third sector care.
  • Signposting older people with frailty to relevant local authority, domiciliary care and voluntary sector services.

Falls services are commissioned to see people who have recently had or are at risk of having a fall.

Falls can have a significant impact on daily life, and we aim to find out why individuals are falling, treat any underlying problems and reduce the risk of falling in the future.

Anyone can have a fall, but older people are more vulnerable and likely to fall, especially if they have a long-term health condition.

The causes of having a fall are multifactorial – a fall is the result of the interplay of multiple risk factors. These include:

  • having a history of falls
  • muscle weakness
  • poor balance
  • visual impairment
  • polypharmacy – and the use of certain medicines
  • environmental hazards and several specific conditions.

Everyone can take action to reduce their risk of falling as they get older. Advice on how to reduce the risk of falling can be found at:

Falls – Prevention – NHS (www.nhs.uk)

Avoiding a fall | Elderly fall prevention | Age UK

We are redesigning services in Bedfordshire, Luton and Milton Keynes to provide a single point of access within each area to access falls prevention services. Currently the following services are available:

Milton Keynes:  https://www.mkfalls.co.uk/

Luton: Falls prevention service (cambscommunityservices.nhs.uk)

Bedford: download document

Palliative Care, End of Life and Hospices

Palliative and End of Life Care is commissioned for people who face progressive life-limiting illness, with or without comorbidities, require different levels of health and social care at different points in their illness. Apart from care and treatment that is specific to their underlying condition(s), they are likely to have needs that are often referred to as palliative or end of life care, especially as they approach the last year(s) of their lives. Throughout the trajectory of their illness, sometimes episodically, sometimes for prolonged periods, they may require expert assessment, advice, care and support from professionals who specialise in palliative care. These professionals work as part of multidisciplinary teams, providing the service directly to the person and those important to them and/or supporting others to do so.

Specialist Level Palliative Care Level (SLPC) services are commissioned for people living with more complex and/or long-term conditions that are life-limiting or life-threatening. The needs of this group cannot be met by the capability of core services alone. This care requires a workforce with specialist skills and experience – including a clear pathway for identifying those who may require assessment for Continuing Healthcare funding via the Fast Track application with a rapidly deteriorating condition that may be entering a terminal phase.

Currently there are range of services commissioned to deliver palliative and end of life care for adults and children across Bedfordshire, Luton and Milton Keynes.

For Adults

  • In Bedford and Central Bedfordshire, we commission Inpatient and specialist palliative care from Sue Ryder Hospice, supported by East London Foundation Community Trust and Bedford Hospital Trust
  • In Luton we commission Inpatient and specialist palliative care from Keech Hospice, supported by Cambridgeshire Community Services and Luton Hospital Trust
  • In Milton Keynes we commission in patient and Specialist Palliative Care in the Community through Willen Hospice supported by Milton Keynes Hospital Trust

For Children

  • Palliative and End of Life Care for children is commissioned through a lead provider which is Keech Hospice based in Luton but who work collaboratively with a range of professionals and organisations to ensure their health and social care needs are met

Wheelchair Services

We currently commission two wheelchair services, AJM Healthcare who cover the Milton Keynes area and East London Foundation Trust Wheelchair Services who cover Bedfordshire areas. These two services offer wheelchair assessment, provision and maintenance to over 4,000 wheelchair users across Bedfordshire, Luton and Milton Keynes.

GPs and other health and social care professionals can refer into the service using the following links:

For Bedfordshire: https://www.elft.nhs.uk/bchs

For Milton Keynes:  https://miltonkeynes.wheelchair.services/referrals-and-assessments/

Information on the Milton Keynes Service User Forum.

All wheelchairs are provided to the patient on a loan basis and should be returned when no longer required.  The equipment is then thoroughly cleaned, tested and recycled for further use.  Both wheelchair services offer Personal Wheelchair Budgets to enable a wider choice for users and information on this can be found via the links provided above.