Complex Care Team

Our small team of practice staff aim to help people avoid hospital by providing a variety of both clinical and social input.

Dr James Taylor and Dr Georgina Butler lead the team with the support of our complex care nurse practitioners, community link worker and patient liaison co-ordinators. 

The team carry out  comprehensive  assessments looking  at all aspects of clinical and social care, create a personalised care plan and encourage wellness and independence with the patient who may feel they are not coping with their independence as well as they used to. They can support patients through their difficult time being a point of contact for the patient, their family and clinical staff. 

All three nurse practitioners compliment each other with their varied  past clinical backgrounds, including Community Matron, Neurologist specialist and long term conditions specialist.

Deb Todd, Community Link worker

Our community link person Debs is trained to support the practice and clinical staff with their knowledge of social prescribing. Debs is available to advise and assist patients and carers with any issues of social need that is affecting their health. Having some clinical knowledge enables her to identify any concerns which if necessary she would then bring to discussion with the Complex Care Team. 

This specialised role enables more time to be spent with a patient directing and supporting them through their stressful and difficult moments of life whilst coping with illness or health issues. The purpose of the community link worker is to increase the aim of wellness, independence and social inclusion.

Michelle Turner and Mary-Kate McIntyre, Patient Liaison Co-Coordinators

Our Complex Care Team Administrators provide us with an easy access single point of contact for patients, Care Homes, Emergency Services and external organisations. Enabling the patient, carers and staff to access our service safely and ensures that we can support them when they require our assistance.

The  climical team meet daily to ensure that any patients they feel may require more input from a different member of our team have that easy access. This also enables us  to engage support over the weekend should a patient need it. We use this  time to discuss new referrals and any issues which need attention.

We accept referrals from anyone who may have concerns that a person may be becoming frail, less independent, or relying much more on family support. We also provide assistance for patients who are finding they have to have increased GP support or attend hospital A&E more often. We work closely with the community staff and urgent care team if concerns need to be addressed more timely.

Drs Taylor and Butler and both members of the national vanguard team looking cosely at integrated care for the elderly and vulnerable population of patients in Gateshead. They both meet weekly with the wider team.



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