Care-Coordination

 

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Our non-clinical care Coordinators can support people who may benefit from non-medical interventions and 1:1 support to help navigate health and social care systems.

Sometimes our circumstances change suddenly, Care Coordinators can help people to access services, put support in place to manage at home and much more.

Karen

Karen Wisbach

Ann

Ann Cox

Karen Wisbach and Ann Cox champion a personalised care and holistic approach to their work, they work with people to understand their goals and what matters most

 

Our Clinical Care-coordinator can support people for whom a more clinical approach may be of benefit.

Emma Gibbon is a Registered Nurse with experience of working for St Johns Hospice and in the community, Emma embodies a population health approach with an appreciation of how the wider determinants of health impact our community.

Emma

Emma Gibbon

 

What support can be provided

  • Case Management – for people 18+ who have multiple health / social care services involved but no care-coordination in place. 
  • Holistic assessment and care planning to inform preventative measures to help alleviate avoidable hospital admissions and primary care attendances. 
  • Coordination of support to help people live independently for as long as possible. 
  • Discussion / documentation, at the patients request, of the things that are important to them and their future. 
  • Proactive assessment of health/home situation and planning with the patient to access services and local resources to improve health, wellbeing and reduce isolation.