Short term assessment, rehabilitation and reablement service (STARRS)

  • Our STARRS team offer you high quality healthcare in the comfort of your own home.

  • Location: Central Middlesex and Northwick Park Hospitals
  • Division: Emergency and ambulatory care
  • General manager: Nipa Shah

About the service

Our STARRS team offer you high quality healthcare in the comfort of your own home.  

Some of the benefits of receiving your treatment at home include:

  • reducing the risk of infections
  • making it easier for you and your family to be involved in the decision-making process
  • allowing for assessment and treatments to be based around your specific requirements and environment.

Our STARRS team includes:

  • nurses
  • physiotherapists
  • occupational therapists
  • dietician
  • consultant physicians
  • paramedics
  • speech and language therapists
  • healthcare support workers
  • therapy technicians
  • complex discharge coordinators
  • a Single Point of Access (SPA) administration team
  • a pharmacist
  • STARRS transport staff.

Information about your care

There are three teams within our STARRS service.

Our Early Supported Discharge team help get you home as soon as you are well enough so that you can recover in a familiar environment. They:

  • provide nursing care
  • provide therapy after your surgery
  • assess your home environment (known as an Environmental Functional Review), and order any equipment which you will need to keep you safe at home
  • give advice and support on preventing falls, and what to do if you do fall
  • work closely to ensure you have short-term social care (known as a bridge social care package).

Our Rapid Response team help to look after you if you have a problem, so that you don't need to be admitted to hospital. They:

  • offer nursing care and rehabilitation for you at home so that you don’t have to
    go into hospital
  • offer nursing and therapy input if you are admitted to hospital, to keep your stay in hospital as short as safely possible and support you at home
  • provide advice and support on preventing and managing falls, including providing occupational therapy and phyiostherapy reviews, and providing equipment when you need it
  • arrange carers to give short-term social care.
  • arrange urgent X-rays, ultrasound, or CT scans for you if you need them
  • offer a review of your care with consultants in clinic.

Our Discharge Coordinator team look after you if the arrangements for you to leave hospital are complicated. This might be because you need to be cared for in a nursing or residential home, have some other organisations involved in your discharge (such as a local authority), or are homeless. They will work closely with organisations outside our Trust to ensure that when you leave hospital, you go to the right place for you.

Conditions we care for

Our STARRS rapid response team may be involved in caring for you if you have:

  • chronic obstructive pulmonary disease (COPD), especially if your condition has recently got worse
  • heart failure, especially if your condition has recently got worse
  • fallen recently, or fall often
  • urinary tract infections.

We might also look after you if your usual carer can't care for you for some reason.

Where we provide your care

Our STARRS team are all about getting you home, so much of your care takes place there or, if you have been admitted, on your ward.

In our hospitals, however, you can find us:

  • at Central Middlesex Hospital: outpatients physiotherapy department, BeCAD
  • at Northwick Park Hospital: level 5D (above our main restaurant)

We also have discharge coordinators based at Ealing Hospital.

Contact our service

Get in touch with our:

  • Early Supported Discharge team: 020 8869 3654
  • Rapid Response team: 020 8453 2233
  • Discharge Coordination team: 020 8869 2828


Our Rapid Response team will accept referrals from:

  • GPs
  • London Ambulance Service
  • Emergency Departments
  • community services, including hospices, and District Nurses
  • urgent care centres

Please call us on 0208 453 2233 to discuss your referral.

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