START (Short Term Assessment Response Team) is dedicated rapid response team of nurses, therapists and health care assistants who work with patients to prevent unnecessary admission to hospital, and when patients are ready to return home from a stay in hospital, the team will ensure the correct support is place to reduce the risk of re-admission.

We work in the community and have a base at Dewsbury & District Hospital A&E. We assess patients who have been admitted and establish if it's possible, with the correct support in place, for them to be sent home rather than be admitted to hospital. We also meet daily with the acute care of the elderly unit and frailty within hospital to support the discharge of patients home or to another care setting.

At Huddersfield Royal Infirmary we work with the Frailty Team to support discharge and follow up patients in the community to reduce the risk of readmission and provide support to A&E to identify patients that can be maintained at home safely.

What We Do

We carry out a full assessment to determine what support is required and then make all the necessary referrals to put that support in place. It could be extra nursing care, physio, help with medication, equipment or support from charities such as Age UK.

We work alongside the District Nursing teams as well as the Local Authority Rapid Response carers and other agencies, to ensure the right care is provided. We provide support for our patients for up to seven days and ensure all the relevant referrals have been completed for continuation of care. Patients remain on our caseload for four weeks to ensure that they can be re-referred should any further support be required.

The Team

The team is made up of Specialist Nurses, Physiotherapists and Occupational Therapists, along with Health Care Assistants and administrative support. The team are managed by a District Nurse and a Senior Physiotherapist.


We receive referrals from GP practices, Yorkshire Ambulance Service and surrounding hospitals for assessments on the same day or the day after.

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