Mabel was enjoying life as an independent 92 year-old until the recent death of her husband. This affected her badly and she has since suffered from loneliness and low mood and been prescribed antidepressants. She also experiences chronic pain and her family explain how this has impacted on her quality of life:
“We contacted the GP as mum was experiencing debilitating nausea and had significantly reduced mobility because of the intense pain she was suffering. The GP visited mum at home to assess her condition and contacted a local service ‘Call for Care’ to come and discuss and arrange the most appropriate care for her.
“A Community Clinical Assessor and Assistant Practitioner came to visit us to discuss mum’s needs and the support she might need. They assessed her health and wellbeing, discussing her various symptoms and how she was controlling her pain. Whilst mum didn’t want specialist equipment in the home she did agree to have a community physiotherapist visit her to assess her mobility – this appointment was arranged for the next day at home. After all the discussion, we agreed a care plan which was communicated to mum’s GP within two hours of the visit.
“We were also delighted that as part of the assessment mum agreed to a visit from the local befriending service. This has been a real turning point for her. Since dad died she had been sad and become increasingly lonely. Through the befriending visits she has regained confidence and is now keen to attend a social group they have recommended to her.”
Right care, right place, right time
Call for Care is a new care navigator system that helps health and social care professionals across Mid Nottinghamshire arrange quick and effective care for patients in need of urgent support but not necessarily an admission to hospital. Mabel’s GP describes the aims of the service and the benefits it offers to patients, carers and families:
“Call for Care aims to provide or signpost to the support patients need to remain in their own homes, avoiding rapid deterioration or admission hospital. For some patients, like Mabel, this is simply about gaining reassurance that they can stay living independently at home and that help is available if they need it.
“This care navigator system is central to the delivering improvements in proactive and urgent care as part of the wider ‘Better Together’ transformation programme. Better Together sees the NHS, Local Authority and voluntary sector working together to join up health and social care services more effectively across Mid Nottinghamshire.
“Through initiatives like Call for Care, the Better Together programme also aims to support patients and families to manage their own care and access the right services at the right time. This can prevent a crisis situation, emergency interventions and avoidable hospital admissions.
“GPs, community nurses and other health professionals can all contact the Call for Care team to access a range of specialist support including the Falls Team, Physiotherapy and Community Matrons. Contact with the right professional at the right time gives patients and their families the reassurance and confidence they need to help people stay independent into later life.”