Adult Social Care - Remaining Independent

Integrated Community Equipment Service (ICES)

The provision of community equipment is essential in promoting the independence of people of all ages with disabilities. It will often result in an individual 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 provision of community equipment also contributes to the education and development of children with disabilities. 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.

ICES has maintained and raised its overall performance of the service. Our objective is – to always deliver and retrieve as many health and social items as possible on time, in full working order and in the most efficient and cost effective way possible. An innovative approach to the service to include Telehealth, Telecare, vehicle use, journey planning and redesign.

The Integrated Community Equipment Service (ICES), from behind the scenes:

  • 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. Occupational Therapy

Issue equipment and fulfil 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.


Supporting physiotherapy 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


  • Prevent acute exacerbations and reduce admissions
  • Support early discharge
  • Promote health, independence (self care) and well being of the service user
  • A better use of resources (staff time, ambulance and Out of Hours attendance).
  • Match “care to need” by creating individual plans and care pathways.


Instillation 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.

Host and train 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.

ICES have dedicated employees who demonstrate a true interest in the departments performance, growth, products and public perception. They are proud of the service and are always looking for ways to improve them. They care about their patients/clients and provide a high level of service to them taking ownership for not only the things they are personally responsible for, but for what happens within the equipment services.

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 undertaken with assistance of the Local Authority and associated means test.

Contact Details

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

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