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Cambridge and Ely

On this page you will find local contact information about falls prevention, JET, social services, community respiratory team, breathe easy groups, mental health, community geriatrician, RADAR admissions avoidance, neighbourhood teams, help at home, health and wellbeing network, ambulatory care, step up beds, Carers' Trust, reablement, admissions avoidance team, SAFE and Home Instead.
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Admissions Avoidance Team 

Based at Addenbrooke's Hospital. 

  • Enquiries - 01223 348306. Urgent queries - bleep 152-044 via GP switchboard.
  • 8am to 6pm – 7 days a week.

A team of specialist support nurses with close working links to social care, community teams and community services.  Aim to promote admission avoidance from the ED, for those who do not require an acute admission but do require some form of community support or services. For 18 years and over.  Provide information, liaison and advice on discharge planning and bridge the gap between hospital and community services. Aim to promote and commence the discharge process, both for admission avoidance work and for those patients warranting an acute admission. The team aims to support and enable patients within the EAU to return to their previous environment by accessing appropriate services in the community.

Falls Prevention 

Telephone:  0333 005 0093
For patients who are over the age of 55 years who have a history of falling or a fear of falling. Email: eh.changepointcambs@nhs.net  please use this form

  • Self referrals accepted

For patients who are not independent with activities of daily living, refer to: 
Cambridge city and South Cambs practices 
East Cambs and Fenland practices 


Telephone:  0300 123 9996 
Urgent two or four hour response service that supports people over the age of 18 with long-term conditions, in their home environment, when they become very unwell and need urgent care, but do not need to go to hospital. 
Have a look at this leaflet for more information.
7am – 8pm Monday to Sunday.

Social Services 

Emergency Duty Team – OOH – adults/children:  Telephone -  01733 234724
Adult Social Care: Telephone - Telephone  0345 045 5202
Children/Young People Social Care: Telephone 0345 045 5203

Community Respiratory Teams

  • Huntingdon,
  • Fenland
  • Peterborough
  • South & Central Cambridgeshire 

Tel: 0330 726 0077
Email: cpm-tr.communityrespteam@nhs.net   

Our working hours are from 8am to 6pm, Monday to Friday (excluding bank holidays).

Community Respiratory Service referral Form
Community Respiratory Team referral info
Community Respiratory Support Team - flyer


Older People’s Mental Health Service

Referrals can be from any health care professional, though it is usually GPs or with their support. 

Criteria – any mental health related concern – could range from memory to hallucinations for a patient registered at a GP Practice within the Cambs, P'boro, Hunts or Ely / Fens region.

We handle routine and high risk referrals (5 day referrals). Referrals of a more urgent nature would go directly to FRS from GP or concerned party.

Prism (under 65s) also offer a patient self refer process through their website.

Telephone: 01480 420178
GP referrals - cpm-tr.opmhreferrals@nhs.net

Under 65s - through Prism - 01733 748 777

NHS 111 option 2

The extension of the NHS  111 service enables callers who are experiencing a mental health crisis to dial the NHS urgent medical advice number, and by choosing ‘option 2’ will be put through to a member of CPFT’s new First Response Service.

Specially-trained mental health staff will speak to callers and discuss with them their mental health care needs – instead of them having to go to accident and emergency departments of local acute hospitals.

Not available when calling from Wisbech – mental health crisis is triaged as per 111 calls.  

Community Geriatrician

Cambridge City and South – Dr. Viveca Kirthisingha. Offering telephone advice, home visits and care home visits.  Also holds a falls clinic and rehab ward at Brookfields Hospital. 

Ely – Dr. Rhian Simpson
Works on inpatient units Lord Byron B at Brookfields in Cambridge and Welney Ward at The Princess of Wales Hospital, Ely. Community sessions supporting the Isle of Ely Neighbourhood Team staff and GP practices. Outpatient clinic at The Princess of Wales and can see patients in their homes, including care homes if appropriate.
Telephone: 07790 572459  Sec: 01353 772532 (Debbie Bovelle)
Email: rhian.simpson@nhs.net
Working days Tuesday (am) to Friday or telephone for advice

R.A.D.A.R. admission avoidance 

Advice and Assessment service for older medical patients
Monday - Friday 9am - 5pm

Please leave a voice message on the mobile if there is no answer and your call will be returned as soon as possible.  

Neighbourhood Teams 

Neighbourhood teams (NTs) are the physical and mental health care hub of the local community for over 65-year olds and adults requiring community services.  They work closely with GPs, primary care, social care and the third and independent sector to provide joined-up responsive, expert care and treatment.  

  • Telephone: 0330 726 0077 
    - Option 3 for Ely and Fenland area.
    - Option 5 for Cambridge area.

8am – 8pm - 365 days a year, from 01/12/2017
Community matron, district nurses, integrated care workers, mental health nurses, OT, physio, MDT co-ordinator.

Health and Wellbeing Network Cambridgeshire

The Health and Wellbeing Network aims to facilitate collaborative working across Cambridgeshire charity organisations and promote access into the wide range of interventions that the third sector offers.
Telephone 0300 666 0142 or visit their website.

Ambulatory Care – Addenbrooke's Hospital

The Addenbrookes ambulatory care unit focuses on treating various conditions that would usually have warranted hospital admission. The ambulatory care unit offers easy access to diagnostic tests, hospital consultants and specialist staff in one place.
Telephone: 01223 348314 (appointment enquiries).
Email: add-tr.eau4@nhs.net
Monday to Friday: 8:30am to 8pm.
Weekends and bank holidays: 9am to 4pm.
For more information have a look at their website.

Lord Byron Ward Brookfields step up beds

In the first instance a phone call to the ward will establish if a bed is available or when one may be available, if the time line for bed is suitable referral forms will need to be completed and sent to ward for triage.
Telephone: 01223 219247 or 01223 219246
24 hour Prescription for Direct Admissions from the Community to Inpatient Beds in Community Hospitals
Patient Consent Form for Transfer to Lord Byron Ward

Inpatient Rehabilitation beds - Welney Ward, Princess of Wales Community hospital 

Telephone:  01353 772509 

Details of medical history should be emailed to: cpm-tr.welneyward@nhs.net

In the first instance a phone call to the ward will establish if a bed is available or when one may be available.

Referrals are accepted from GPs, JET and Neighbourhood Teams.  Criteria for referral require that the patient should be medically fit for rehabilitation with no requirement for acute medical input.  

Blood results and a recent medical review are also required.

Carers Trust Cambridge

Telephone: 01480 499090 or 0345 241 0954 or email care@carerstrustcambridgeshire.org
Provides support to carers, including emergency support.  Fully CQC compliant.  All referrals, including self referral welcome.  


Telephone: 01223 703235 Monday to Friday 9am to 5pm.
Reablement is a programme of short term support tailored to individual needs, to help re-learn the skills needed for daily living and reduce the amount of care and support required.
Reablement is about helping people to do things for themselves rather than having things done for them. Reablement programmes can last from as little as a few days to a few weeks.

Reablement south:

  • Cambridge City
  • Sawston 
  • Ely 

SAFE (Specialist Advise for Frail Elderly) Team

Some admission avoidance work.
Direct line: 01223 274752 - please leave a voicemail.
Bleep: 152-387 or 157-831 via the GP switchboard 01223 216151.
Email: add-tr.safe-team@nhs.net
Working hours: 7 days a week from 8am to 8pm.
More information on the SAFE team's role.

Home Instead – Cambridge

They provide quality home care services to older people in their own homes, where they are most happy and comfortable. Their care is personalised, tailored to meet the needs of their clients, they visit when their clients want them to, at a time that is convenient to them. Find out the service they provide

The Cambridge office offers home care to the following areas:

  • Cambridge city, its suburbs and villages within approximately a nine mile radius of the city.
  • They also serve the town of St Ives.

Please call their office on 01480 495834 if you would like to discuss service in your location.

Breathe Easy Groups

  • Breathe Easy Cambridge
  • Breathe Easy Ely
  • Breathe Easy March and Fenland
  • Breathe Easy Wisbech
  • Singing for Breathing (Cambridge)

Contact details can be found on the British Lung Foundation website for each group.