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Urgent Community Response (RRIC) referral

The Rapid Response and Intermediate Care service (RRIC) provides an urgent response in the community to avoid hospital admission/conveyance, in 2 hours, or 2 days if less urgent.  RRIC teams now have paramedics with advanced skills and nurses, alongside highly skilled physios and OTs, rehab assistants and healthcare assistants. Medical care remains with the patient’s GP.

For adults at home, care homes or in ED at risk of admission

Phone referrals: 0800 177 7789  

8am – 8pm every day

  • Calls after 8pm are picked up next day.
  • Do not email for an urgent response.
  • For health, social and support referrers only.
  • Self-referral via NHS111.

MUST be:

  • 18+ & to avoid imminent hospital admission/conveyance
  • Bucks GP (not Milton Keynes )
  • Safe to remain at home

CAN be:

  • Fall without serious injury / loss of consciousness / medical emergency / fracture. Can lift off floor
  • Decompensation of frailty
  • Reduced function / deconditioning / reduced mobility which may also need short term support (e.g. personal care)
  • Palliative/end of life crisis support – not symptom control: refer to DNs Urgent equipment for safety and optimising function
  • Increased or new confusion
  • Acute worsening of delirium
    or dementia
  • Urgent catheter care if unknown to DNs (ACHT)
  • Urgent diabetes support – resolved hypoglycaemic episode or blood sugar management risks admission
  • Minor illnesses and infections requiring review e.g. UTI, URTI
  • Primary wound care and sutures
  • Informal carer breakdown which puts person they care for at risk of admission
  • Formal carer breakdown on case
    by case basis and ONLY as exceptional last resort to prevent imminent admission


  • Milton Keynes residents
  • Acutely unwell or acute trauma needing emergency care or assessment, treatment, diagnostics in hospital/UTC (e.g. cardiac , stroke, head injury, fracture, abdominal pain, sepsis).
  • Life-threatening conditions (i.e. catastrophic haemorrhage, airway compromise, ineffective breathing)
  • Any mental health problems as primary presentation
  • Overnight or 24-hour care, medium/long term care needs (e.g. social care, private care)
  • Point of care testing
  • DN/community nursing needs (routine catheter care, non-primary wound care, palliative care symptom control) – refer to DN (ACHT)

Click to watch a video about the service