Cellma: Smarter Digital Support for Community Care Services

Table of Contents Help Others Discover – Click to Share! Facebook Twitter LinkedIn Table of Contents As per NHS Community Services Statistics report, England recorded 1.73 million community care referrals in September 2024 alone. Of these, 320,565 referrals were for children and young people, 504,370 referrals were for adults aged 19 to 64, and 905,660 were for adults aged 65 and over. These numbers are not simply numbers they represent real people, complicated needs, and the ongoing pressure on community care services to be more responsive, safer, and closer to people’s homes. As the UK health system shifts focus from reactive to proactive care, community teams play a vital role in keeping people out of hospital, supporting early discharge, and managing long-term conditions in the most appropriate setting: the community. But to make this work, professionals on the ground – district nurses, allied health professionals (AHPs), mental health teams, reablement and rapid response units need fast, mobile, and reliable access to patient information and clinical tools. And this is where Cellma, a best-in-class AI powered EHR, comes into play. What Is Community Care Services? Community care services refer to the wide range of health and social care provided outside of the hospital setting. Community care is typically the first line of response to vulnerable, older, and chronically ill patients. Some of the key services that the Community Care team of professionals’ offer are: District Nursing: Providing wound care, administering medications, palliative care, catheter management and chronic disease monitoring in a patient’s home. Allied Health Professionals (AHPs): Including physiotherapists, occupational therapists, speech and language therapists, and dietitians that support rehabilitation and function. Community Mental Health Teams: Providing psychiatric assessments, care coordination, crisis support, and long-term mental health management. Health Visiting and Child Health: Supporting early intervention, safeguarding, and parental support. Reablement: Helping people to regain their independence after illness or discharge from a hospital. Palliative and End-of-Life Care: Addressing compassionate end-of-life care and pain management at home. Rapid Response and Unscheduled Care: Providing urgent interventions to prevent avoidable hospital admissions. These services play a pivotal role in providing timely, local, and personable care, but many are held back by disjointed systems and paper-based processes. Clinical Conditions Managed in Community Care – Supported by Cellma Community care teams work with a range of clients – from post-acute rehabilitation to end-of-life care. Cellma is meant to help clinically connect and enhance the care of various conditions: Chronic Disease Management (e.g., Diabetes, COPD, Heart Failure) Monitor vital signs, blood glucose, spirometry, and weight trends using condition-specific templates. Tailored alerts and pathways for routine monitoring, escalation, and referrals. Patient education and care planning is part of each contact; documentation of shared goals. Dementia and Cognitive Impairment Integrated cognitive assessments (e.g., MMSE, MoCA) and mental health assessment tools or structured assessment templates. Care plans modified to focus on carer support, risk management, and social interventions. Visibility across providers ensures coordinated dementia reviews and medication monitoring. Wound and Pressure Ulcer Management Photograph wounds securely, track healing over time, and apply standardised documentation protocols (e.g., TIME framework). Custom alerts for deterioration or overdue dressing changes. Seamless communication with tissue viability teams and community matrons Respiratory Conditions (e.g., Asthma, COPD Exacerbations) Templates include peak flow diaries, inhaler technique assessments, and oxygen saturation tracking. Integration with lab results (e.g., CBC, CRP, blood gases) and imaging. Clear care pathways for home-based nebuliser therapy or escalation. Mental Health in the Community Incorporates risk assessments, psychologically validated tools (PHQ-9, GAD-7, HoNOS), and crisis planning. Multidisciplinary entries, joint care planning with CMHTs, and shared safeguarding records. Custom flags for safeguarding, domestic violence, and substance misuse. Palliative and End-of-Life Care Integrated documentation, anticipatory prescribing, and symptom tracking. Shared care plans visible to all involved providers including hospice, GPs, and out-of-hours services. Holistic templates for pain, breathlessness, and spiritual needs. Falls, Frailty and Mobility Frailty index calculators, falls risk assessments, and physiotherapy outcome measures built in. Rehab goal tracking and community equipment prescriptions. Support for multidisciplinary reviews and onward referrals (e.g., to Falls Clinics or Home Adaptation Teams). Each of these conditions is managed within secure, structured clinical templates that allow standardisation while allowing local flexibility. Cellma: Built for the Realities of Community Care Cellma is a smart, AI-driven Electronic Health Record (EHR) that is built to suit the realities of community care services. Whether you’re coordinating a discharge, working with a frail patient in their home or in a rapid response environment, Cellma places the right information at your fingertips at the right time. Cellma gives community teams the digital toolkit they need to work efficiently and collaboratively; anywhere, anytime. Here’s how: Customised Assessments & Clinical Tools: Cellma offers a library of customisable assessments, clinical calculators, and templates, all tailored to your service model. Quickly document home visits, triage assessments, or wound care reviews in real-time. Dynamic Care Plans and Pathways: Create, manage, and update personalised care plans and clinical pathways that reflect local protocols. Real-time updates allow multidisciplinary teams to collaborate smoothly. Integrated Referral and Patient Portals: Cellma’s Referral Portal enables fast, structured referrals between services. The Patient Portal ensures patients and carers are informed and engaged in their care journey. Integrated Diagnostics: Cellma integrates with PACS imaging and lab information systems, ensuring diagnostics are accessible on the go – no delays, no duplication. Modular and Role-Based: Cellma’s interface adapts based on each user’s role – nurses, therapists, coordinators, or managers. Whether it’s a rapid response or a routine visit, users only see what’s relevant to them. BI Reporting and Insights: Built-in Power BI dashboards help managers monitor KPIs, track outcomes, and plan services more effectively. Seamless Integrations to NHS Cellma’s integrations with national systems across the UK means they can provide continuity and accuracy, including: PHS & Data Intelligence CHI (Community Health Index) GP Connect ECS (Emergency Care Summary) SCI Gateway These integration capabilities provide clinicians with a single, up-to-date view of a patient’s health record (wherever the care is being delivered). Security and Compliance You Can Depend On With Cellma you get data security and