Adult Social Care - Remaining Independent

Community Equipment Service (CES)

The provision of community equipment is essential in promoting the independence of people of all ages with disabilities. It will often result in a person being able to cope independently without the need for other services. In some cases it will enable the safe and effective delivery of other services involving support with personal care. These include home care, re-ablement services, intermediate care and even residential and nursing home care. The spectrum of community equipment is vast, and until recently has been hugely underestimated in the role it plays in the wider health and social care community.

The aim of CES is to:

  • Promote independence, safety, social inclusion, quality of life, improved end of life care.
  • Help to give elderly and disabled people control over their own lives.
  • Cut unscheduled hospital admissions.
  • Cut Accident & Emergency attendance.
  • Reduce the length of hospital stay.
  • Reduce ‘bed blocking’ in hospitals.
  • Assist with the delivery of many quality outcomes for children and adults.
  • Assist with funding of long term care by avoiding the need for care home admissions.
  • Improve early years development.
  • Play a key role in the delivery of early intervention and prevention strategies, and in avoiding crisis admissions to high cost services.

CES issues equipment and fulfils minor adaptations to assist in patient independence and function improvement. This may include such items as commodes, trolleys, perching stools, toileting equipment, chair and bed raisers, hand rails and ramps etc.

They also work closely with/by:

  • Physiotherapy - supporting them by providing equipment to aid mobility

  • District Nursing - meeting same day request for equipment to support patients in the community with profiling beds and pressure care equipment to meet zero tolerance on pressure injuries

  • Telehealth- prevent acute exacerbations and reduce admissions, support early discharge, promote health, independence (self-care) and wellbeing, a better use of resources (staff time, ambulance and Out of Hours attendance) and matching “care to need” by creating individual plans and care pathways.

  • Telecare - installation of environmental sensors to detect floods, fire and gas leaks plus door entry alerts were carers of people with dementia may be alerted if the person leaves the house monitored either centrally or locally.

  • Hosting and training staff as Trusted Assessors - Relieve pressure on Occupational Therapy Services enabling trusted assessors to undertake the low level assessments for equipment. Support a timely move through services, be that hospital discharge, residential discharge or movement through the re-ablement service.

Referral Routes

Referrals for assistive aids and adaptations are made through a qualified clinician (Occupational Therapist, Physiotherapist and Community Nurses) normally following an assessment of needs. These can involve long and short term conditions ranging from a simple walking aid to structural alterations to the home.

Contact Details

For further information on CES contact the team on 01983 528334 Monday – Friday 8.30am - 4.30pm.

For information on assessment contact your Health or Social Care worker.