Enhanced Health at Home

The Enhanced Health at Home Team works with your GP Practice. If you are aged 65 and over, have a long term condition or frailty and have had a recent hospital stay or A&E attendance, a Care Coordinator could support you with condition management and independence.

The Care Coordinator will visit you at home to review your health and care needs, working with you to access any additional health or social support services and will act as a single point of contact for non-medical issues or enquiries.

The aim of the team is to support you to prevent any avoidable hospital admissions. We will work with you to manage your health and social needs and making decisions relating to your care and treatment and will help to coordinate appointments and ensure any information about your health is in a format that you can understand.

Examples of some of the support your Care Coordinator can offer are:

• Ensuring your home is adapted to your needs
• Checking that all requests and actions required following your hospital discharge are followed up
• Help you to prepare for any future appointments i.e. what to ask and/or expect
• Liaise with other professionals on your behalf
• Connect you to community organisations and voluntary services
• Ensure information is in your preferred format
• Empower you to take control of your health needs
• Work with you to achieve your desired goals