How are we supporting?
Many, though not all, older people have issues with their health and sense of well-being. These include:
- Health including mobility and independence
- Well being including bereavement and isolation
- End of life planning
- Home and Carer
Allocated named GP for patients over 75 years
All of our patients over 75 years have an allocated named GP who is responsible for co-ordinating the care provided to you by the Practice.
Our Care Co-Ordinator, Kaye, works with the GPs and members of the Practice team to support our older patients. Kaye assists in ensuring:
- Patients with complex needs have care plans to ensure out-of-hours GP services have information about your health and medication
- The Practice maintains a register of patients at risk of hospital admission to oversee their care
- Older patients recently discharged from hospital should receive courtesy calls from the Practice to ensure they have all the support they need on returning home
- Recently bereaved patients receive support from the Practice
- Referrals are made to the Community Matron and other support services where a patient requires them
Community Support Team meetings
These meetings occur monthly and involve our lead GP, Dr Anna Frain, the Community Matron, Care Co-Ordinator, District Nurse, Community Psychiatric Nurse and Social Worker with the aim of supporting vulnerable older people living in the community.
Flu-jabs for over 65 year olds
Each autumn, usually starting in late September or early October, the Practice runs a flu immunisation service for older patients and other groups at risk
Palliative Care Multi-disciplinary Team meetings
Patients receiving end-of-life care are discussed by the team every three months to co-ordinate and plan care and support.
Advanced Care Planning
In line with GMC guidance, we can provide information to patients regarding end-of-life care issues.