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

Community Midwives

Midwifes offer care during pregnancy and after birth to all patients registered with the practice. On registering with the midwife you will be given more information on the roles of the midwife, GP, health visitor and all clinics you will need to attend during your pregnancy.

  • Click here for more information about pregnancy planning

Community Nurses

The District Nursing Team is based at Upton Surgery and is made up of a team of community health nurses.  Their contact details are:

  • Telephone: 01684 612804 (8:30 am – 16:30 pm for non-urgent messages) 
  • Internal Dialling Extension 2060

District Nurses are part of the Extended Primary Healthcare team and play a cruicial role in supporting people at home.  They visit people in their own homes, including registered care homes, providing care for them and supporting their carers or family members.

As well as providing direct patient care, District Nurses also have a teaching role, working with people to enable them to care for themselves or with their carers or family members, teaching them how to give care to their relatives.  The District Nurses play a vital role in reducing the incidence of avoidable hospital admissions and re-admissions, and ensure that peope are supported to return to their own homes as soon as possible. 

Health Visitors

Health Visitors are part of the Starting Well in Worcestershire service. We provide antenatal visits along with support throughout a child’s development up to 5 years old


Contact us:


If your child is under 5 years old and you need advice on issues such as feeding, behaviour or constipation, contact our telephone advisory service on:


0300 123 9551


If you need to change or make an appointment with your local Health Visitor, contact: 01684 612628


The local clinic is held at Riverboats Children’s Centre Upton on: Tuesday 1.30 – 3.30pm, no appointment needed.


As Health Visitors we aim to work with families to improve future health outcomes, and by utilising our specialist training we can provide expert information, assessment and intervention for babies, children and families including first time mothers and fathers and families with complex needs.


Health Visitors are qualified nurses or midwives who have an additional degree or post graduate diploma in Specialist Community Public Health Nursing. They have had specialist training in child development and health promotion and can support families to prevent illness and to promote good health.


Our aim is to provide a family focused service to ensure children and families have a positive start in life. We are community based to ensure our service continues to be accessible to all. Health Visitors will also provide support over the telephone.


We can help with;


· Keeping children safe and preventing accidents


· Support with Healthier lifestyles – Smoking cessation, alcohol and substance misuse


· An unhappy or violent relationship or family conflict


· Immunisation/screening programmes


· Safeguarding Children


· General health advice and referral to appropriate services


· Supporting with Healthy Eating

Attached Staff

Social Services at Upton Surgery 

soci The Social workers are working in locality clusters. Upton Surgery comes under the Pershore Pershore and Upton Locality Team. Two workers are GP attached social workers for Upton SuUpton Surgery working with all adults aged 18 upwards. However, there are also other social workers and social worker assistants in the team that may pick up referrals for Upton Up Upton residents as and when required.

Social nd The contact telephone number for the access centre (which is the first point of contact for all referral all referrals including people with Learning Disabilities and Physical Disabilities, Older Adults and Adults and Children's services is 0845 607 2000 .

Worcestershire Health and Social Care Access Service (WHASCAS) is another point of contact to make a referral for Intermediate Care and Admission Prevention Services and the contact number is 01905 768053 .

The contact telephone number for Rowan House (Mental Health) is 01905 612763 

Podiatry

How to contact us:

  • Telephone 01684 612655 to access the service following referral by a doctor

School Health Service

How to contact us:

  • Telephone 01386 502067

The School Health Service is for school children and young people, their families and carers. 

The service aims to promote the health of school aged children so that they can get the best form their educational opportunities. 

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