PCN Neighbourhood Team

What is a Neighbourhood Team?

A Neighbourhood Team is constituted by a group of staff from a number of different teams/ professions: social care for adults and children/families, health, district and borough teams, along with the voluntary sector. The staff from these different teams work together to deliver a number of key objectives:

  • To improve care coordination for people with multiple long term conditions
  • To provide better, local and faster access to services
  • Helping to activate proactive care
  • Reductions in permanent admissions to residential/nursing care
  • Reductions in non-elective emergency hospital admissions
  • Reductions in forced evictions and homelessness
  • Better health outcomes (including less obesity, smoking and teenage pregnancy, and more breastfeeding)
  • Improve emotional wellbeing
  • Ensuring that the ‘voice of the service user’ is clearly heard

This type of care delivery requires a fully integrated response across health, social care, housing, employment, benefits and voluntary sectors.

Pershore and Upton Neighbourhood Team

Neighbourhood Teams bring together a range of professionals, including district nurses, therapists, GPs, and social care staff into one of 13 teams providing care and treatment to patients in their own homes. The aim is to deliver more proactive and responsive care to reduce unnecessary hospital admissions or repeat GP appointments wherever possible.

https://www.hacw.nhs.uk/services/service/neighbourhood-teams-107/

https://youtu.be/MxStWVOAGBw

Contact Details:

Pershore and Upton Neighbourhood Team cover:

UPTON SURGERY

ABBOTTSWOOD MEDICAL CENTRE

PERSHORE MEDICAL PRACTICE

Team Lead: Mel Edwards

Clinical Physio Lead: TBC

Neighbourhood Team Service Lead: Daniel Marshall

Email: whcnhs.pershoreuptonteam@nhs.net Tel: 0300 123 7593

Patient Pathway

Social Services

For all enquiries relating to Adult Social Care

You can contact the Adult Social Care Team sending an online form here or calling 01905 768053 (between 09.00am - 5pm)

 Emergency Out of Hours Social Work Services:

The Emergency Duty Team (EDT) provides an out of hours response, on behalf of Worcestershire Social Care Services and Herefordshire Children's Services, to emergency situations that arise outside normal Social Care office hours. 

01905 768020

Raise a concern about an adult

Make a complaint, comment or compliment

District Nurses

Nursing intervention for housebound patients and those requiring care at home.

 

Upton Surgery:

DN office: 01684 612804 (Mon-Fri 08.30 am - 04.30pm)

County Twilight / Night Nursing Service:

Tel: 01905 681711 (7 days a week 5:00 - 6:30pm Triage) (6.30pm - 7:30 am visits)

Neighbourhood Team Triage

Triage clinician available for general guidance and advice.

This service is for all enquiries relating to admission avoidance for patients at potential risk of hospital admission.

Referral to service:

01386 502016

Clinical Phone Triage:

Mon - Fri 08.00am - 6.30pm OR Tel: 0300 123 7593 (option 2) (option 5) Outside these hours if you need to talk to a triage clinician:

 Tel: 01905 681711

 Email: WHCNHS.pershoreuptonteam@nhs.net

Community Physio

Patient Self Care Referral to:  

www.hacw.nhs.uk/movetoimprove 

For those living in Evesham, Droitwich, Pershore, Malvern, Tenbury, Worcester, Broadway and Upton. 

Before you complete the self-referral form

  • Have you been using the advice and tips on the self-help sections for around 8 weeks? 
  • Are you still feeling pain or discomfort?
  • Are you registered with a GP practice in Evesham, Droitwich, Pershore, Malvern, Tenbury, Worcester and Upton?

If you have answered yes to all the above then you can self-refer to the community physio sessions.

You can call 0300 790 0599 Monday - Friday: 8.30am - 16:00 to check the progress of your referral or to cancel an appointment that you no longer require. 

Please note that you cannot self-refer by calling this number, please instead complete the self – referral form.

https://www.hacw.nhs.uk/self-referral-msk/

Domiciliary Physiotherapy for housebound patients: 

Tel: 01386 502016 or

WHCNHS.pershoreuptonteam@nhs.net

Community Occupational Therapy

Occupational Therapists (OT's) work with people who have disabilities with the aim of helping people to live as independently as possible.

What does an Occupational Therapist do?

They work with you and your family or carers to identify any areas of difficulty with daily living tasks - including washing, dressing, cooking and getting on and off your bed, toilet and chair.

They will then advise you on overcoming the difficulties you are having. This advice may include:

  • suggesting you use a piece of equipment to make a task easier
  • providing advice on how to do a task more easily
  • suggesting ways to adapt your home to help you live more independently and making referrals for housing adaptations where appropriate
  • providing advice on support networks in your area
  • providing information on your disability and medical condition

How to see an Occupational Therapist

Anyone with a disability can ask to see an OT - you can refer yourself for an assessment by contacting your local OT office. They may need to communicate with your Doctor about your medical needs.

County Occupational Therapy Helpline: 01905 681637 (Monday - Friday 09.30am - 1pm)

Email: whcnhs.dutycotsouth@nhs.net

For new referrals, Self-Referral and advice

Upton Surgery: Malvern Community OT 01684 612637

Nurses

There are currently four practice nurses and three advanced nurse practitioners who provide a diverse variety of care and treatments.

Advanced Nurse Practitioners and Practice Nurses are available Monday to Friday 8.30 am until 6.00pm. Consultation is by appointment , however with a triage system in place at the Surgery patients may be seen on the day if required.

Advanced Nurse Practitioners and Practice Nurses are supported by Health Care Assistants who are involved in delivering a wide range of care. 

Our HCAs are available on Monday to Friday from 8.30 am until 6.00 pm. Consultation is by appointment .


Nurse Advisor for Older People

The role is to promote the health and wellbeing of older people living at home, and those with complex care needs including those with dementia.

Phlebotomists

The surgery has phlebotomy services Monday to Friday, 8.30 am until 12.00 noon.

For patients who require blood tests please make an appointment.

Fasting bloods are no longer performed as a routine measure.

You will be given specific instruction if you require a fasting blood test by the health care professional. 

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website