Five multi-disciplinary Community Integrated Teams (CITs) are now in place to provide effective, high quality and co-ordinated care to people with the most complex needs in their own home, keeping them as independent as possible and out of hospital if they don’t need to be there.
Based in key localities in the city – Bunny Hill, Downhill; Hendon; Houghton; Grindon and Washington – the teams are made up of core staff teams including district nurses; community matrons; social workers; living well link workers and carers support workers.
By working from a single, shared base, staff are able to work directly together, not only improving communication; but avoiding duplication and speeding up response times for local people.
Around this core team a wide range of other professionals link in to a wider, locality-based ‘network’ to ensure people get the right care from the right organisation or specialist.
The network includes GPs and practice teams; community physiatrist nurses; community pharmacists; care homes nurses and palliative care nurses, and is growing as relevant organisations or individuals are identified.
A key part of community-care integration is the development of multi-disciplinary teams (MDTs) centred on each GP practice in the city and linked to their relevant local CIT. Patients identified as needing extra support by each practice may be subject to an MDT meeting where a range of professionals (including CIT members) discuss; plan and implement an co-ordinated care plan which encompasses a full range of services depending the person’s need.
While the GP leads clinical decision-making through MDTs they can call on a much wider support from the full network to cater for a patients; health; social and emotional care.
Meetings are managed by MDT co-ordinators and tailored to each practice population’s specific needs.
Sunderland Health Forum
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Sunderland Health Watch
Local Healthwatches have been set up across England to create a strong, independent consumer champion whose aim is to:
Strengthen the collective voice of citizens and communities in influencing local health and social care services to better meet their needs
Support people to find the right health and social care services for them by providing appropriate information, advice and signposting
To encourage and support people and groups to share their views about services; listen to people’s needs and experiences of services
Healthwatch will have a flexible and robust work plan to meet the needs of the aims and objectives of the organisation. For further information about our work plan please contact us.
Healthwatch Sunderland will work with local people, patients, service users, carers, community groups, organisations, service providers and commissioners to get the best out of local health and social care services. This doesn’t just mean improving services today but influencing and shaping services to meet the needs of the local communities tomorrow.
NHS England offer a range of screening including cervical cancer screening / breast screening / bowel screening and Abdominal Aortic Aneurysm screening.
We have included some videos/links regarding the process for your information below:
Sunderland Primary Care News
In 2015, Sunderland won funding as one of the first vanguard sites in England and started a journey to radically change the way health and social care was delivered to those who need it most.
The All Together Better Sunderland vanguard programme brought a wide range of specialist care providers together to explore how best to work together as one team and improve services for local people in line with the NHS Five Year Forward View.
The overarching aim is to provide better, more efficient community-based, GP-led care using new ways of working, new technologies and improved planning in order to keep people as well as possible and out of hospital. This website provides a range of information and resources that demonstrates the work.
Please click on the links below for further information:
AGE UK SUNDERLAND
Age UK Sunderland is a strong, local and independent charity run by and for the people of Sunderland. We support older people throughout the city through the provision of quality services and by campaigning on issues that affect them.
Click on the link below for more information:
From time to time Age UK run events – the next event is a Christmas Spectacular at the Salvation Army, Monkwearmouth on 1st December. See link for details.