Devised jointly by the local community, GPs and other frontline health professionals My Care, My Way is a new approach to healthcare, aimed at over 65s, and intended to help our older patients remain independent in their communities and have more control over their care
Teams, led by registered nurses and supported by health and social care assistants, are now embedded in local GP surgeries and aim to develop complete care plans with patients which identify their specific needs and then work to optimize their health and social wellbeing.
Our plans are holistic, which means they aim to cover all aspects of health and social wellbeing. Plans may set out health related goals around weight loss or stopping smoking, but we can also help patients achieve other goals, from finding appropriate social support to lending a hand filling out forms.
Part of our work also consists of linking patients to a range of services provided by organizations like Age UK and Open Age, operating in local communities across the borough. These include 1-to-1 services like befriending, mobility support and massage therapy, as well as group activities like dance, gym sessions and gardening. The one-to-one services and group activities which our My Care, My Way team can refer patients into include:
Since each patient is different, each care plan is tailor-made to individual needs. Plans can be drawn up through 1 hour consultations at either the St Charles Health and Wellbeing centre in Exmoor Street (click to find on a map), or the Violet Melchett Health Centre in Flood Walk (click to find on a map). These consultations will usually involve the patient, GP, case manager and other health professionals (e.g. social workers). Consultations can be arranged and more info found, by simply calling the practice. Alternatively, housebound patients can be visited at home.
My Care, My Way patients who would like to be reviewed again for further services can contact our Senior Case Manager, Steve Irons (email@example.com,) and he can arrange a home visit. Additionally, patients who have recently had hospital admissions will be reviewed again by the My Care, My Way team once they are back at home.
Case managers and our assistants exist to act as a single, known and trusted point of call for patients, helping them navigate the NHS and coordinate their care. We want to help older patients manage and understand their health conditions so they can remain independent, avoid repeated hospital admissions, and get proper care and support at home once they’ve been discharged. For more information on how My Care, My Way could help you or a member of your family, please contact reception.