Primary Care at Home (Bedfordshire)

The Primary Care at Home (PCaH) service helps people with long-term conditions which can include diabetes or respiratory problems and also help people return to independent physical function.

District nurses, community matrons, occupational therapists (OTs), rehab support workers and care coordinators work within PCaH to provide coordinated care.

Three PCaH teams are based in the north, mid and south of the county.

They work closely with all other social and health care providers to meet the needs of their patients, including involvement at GP Cluster MDT (Multi Disciplinary Team) meetings, led by GPs, to decide on patients’ needs.

They are part of Bedfordshire Community Health Services (BCHS).

The teams provide daytime unplanned care support, which was previously delivered by the Rapid Intervention team (RIT).

A countywide night service will also support patients to remain in their own homes by delivering planned and unplanned care.