Services

Supporting Patients with Chronic Conditions

The aim of this service is to help

• manage patients health problems
• improve patients quality of life
• prevent unnecessary admissions to hospital

Who provides the service?

This service is provided in the South East Hertfordshire area by a team of skilled nurses who specialise in caring for patients aged 65 years and over who have chronic conditions regardless of whether they live in their own home or a care home. The service is available Monday to Friday from 9am to 5pm.

Claire Hart is the Senior Advanced Nurse Practitioner who, working with our Doctors will identify patients that are suitable and willing to be included on the service. She will also work with the hospital team and the discharge co-ordinator to ensure a faster, more effective discharge from hospital, which benefits both the patient and their family.

What the service can provide

Patients included on the scheme will undergo a thorough assessment by the Senior Advanced Nurse Practitioner to identify any physical, social or emotional problems they may have. This will include a detailed interview about their home circumstances, mobility and other issues. She will try to appropriately address any problems identified with the patient and perform clinical tasks to enable an effective diagnosis or review. She will set up a plan of care with the patient and maintain regular contact to enable their care needs to be reviewed and help mange any changes in their condition.

Claire will work closely with the patient?s Doctor and is also able to liaise with other health professionals on the patients? behalf. She will be able to explain any aspect of care received to either the patient and or their carer.

Claire Hart can be contacted on 01992 706134

Please note the service is available Monday to Friday 9-5pm

Carer's Information

Are you a carer? 
Do you, unpaid, look after a friend or relative who is ill, frail, disabled or mentally ill?

This surgery is keen to recognise the valuable contribution that carers make.  We are currently working with a local voluntary organisation, Carers in Hertfordshire to identify our carers and give them support.

If you're a carer, please complete this form and hand it into Reception.

With your permission we can put you in touch with Carers in Hertfordshire who can offer information, advice and regular newsletters for carers.

More information about carers

Information about Carers in Hertfordshire and the help they offer.

Carers Back-up Planning - If you look after a relative or friend
who is ill, frail or disabled you may worry about what would happen if
you were unable to care for them, see the following link to read about the new Adult Care Services Carers’ Emergency Scheme.