BCHC staff treating an adult patient


Adults' Services

Community Nursing Service

The adult Community Nursing Service and Integrated Multi-Disciplinary Team (IMT) provides nursing assessment and treatment to patients who are unable to leave their home

About our service

The adult community nursing service and integrated multidisciplinary team (IMT) provides nursing assessment and treatment to patients who are unable to leave their home (permanently or temporarily housebound due to ill health). The community nursing service delivers a wide range of nursing interventions to people in their own homes and plays a key role in supporting independence, managing long-term conditions, and preventing and treating acute illnesses. The services are required for many reasons, but are commonly needed by adults with a disability, older adults living with frailty and long-term conditions and those who are near the end of their life.


Who is the service for?

Any adult between the ages of 17 and above can access the service if they are registered with a Birmingham GP.

If you or a family member experience a new illness or deterioration of a chronic illness and are able to remain in your/their own home, the Community Nursing service will visit you to undertake an assessment or a review to determine what care can be provided.

All care will be provided in the community within your own home, including residential homes.

The community nursing team will make appropriate referrals to other health professional such as the clinical practitioners,  Therapists or outside agencies such as Birmingham City Council (Social Services) if required.


What area do we cover?

The service covers the five districts of Birmingham (North, East, South, West and Central) and currently has 31 teams delivering care in patients' homes or other community setting.


What do we do and who provides it?

The community nursing service carries out the following functions:

  • assessment
  • dressings and wound care
  • leg ulcerations and tissue viability (including aftercare of surgical wounds)
  • continence assessment
  • catheter care
  • phlebotomy - services will be provided to all patients who are both housebound and on the current district nurse caseload.
  • stoma care
  • medication and prescribing
  • administration of medicines
  • central venous access devices and IV therapy
  • safeguarding

Each team is led by an appropriately qualified community nursing team leader and consists of district nurses, community staff nurses, nurse associates, assistant practitioners, healthcare assistants, administrative staff and student nurses on placement.

The teams provide 24 hour cover and are available 365 days of the year:

  • day service covers 8am - 6pm
  • evening service covers 6pm - 10.30pm
  • night service covers 9.30 pm - 10.30pm


What happens at your appointment?

A district nurse or community staff nurse will make contact with either you or your family to arrange an initial visit. The nurse will visit you to assess your medical condition and then discuss what care can be provided to support you at home and maintain your health and well-being whilst promoting your independence with the care required.

A personalised care plan will be completed in conjunction with yourself/ carers/ relative/ nominated person with the agreed outcome to your care requirements, your personalised care plan will promote independence and self-care where possible which may include carers/ relatives/ nominated person input. Your care plan will be left in your home for you and other health care providers to review to ensure everyone will know what care you need. When being reviewed by the nurse changes will be documented in your care plan.

Healthcare assistants may support your care as documented in your care plan, such as helping to assist you with personal care and instilling your eye drops or applying prescribed creams or undertaking your observations such as your blood pressure or blood sugar.

Unfortunately, we cannot give exact times of attendance of visits, however we can discuss specific requirements on an individual basis.

Out of hours care is provided by evening service and the night team; these teams will predominantly provide emergent unplanned care while the day teams will provide both planned and emergent unplanned care.


Self-care and supported self-care

Your community nursing team will assess if you are able to self-care or if family/carers can support you with supported self-care to ensure your health needs are met.  Your community nursing team will support you/ your family/ your carer/s through education and teaching whilst ensuring you always have access to a community nursing team for any follow up or support.

Please click here for more information and resources.


Clinical practitioner 

All patients under the care of a clinical practitioner have been contacted and informed of how to access support through early intervention community teams.

For any further queries please contact early intervention community teams via the adult community service single point of access 0300 555 1919, option 2.

Our patients and their carers and families are the reason we're here, so we want to hear your views about the Trust and our services.