North Tyneside Care Plus - a service for the most frail

North Tyneside Care Plus is a new way of working with you to improve your health and wellbeing, bringing health care professionals, social care and voluntary services together to ensure you receive the best care.

North Tyneside Care Plus starts by putting you at the centre of your care.  It brings together the main organisations who are typically involved in looking after you, so we coordinate our efforts and join up the parts of the service, to help you stay as healthy and happy as we can get you.

As you have probably already noticed, different people looking after you are employed by different organisations.  Your GP and your GP practice are one part of NHS, the community nurses and community matrons another, counselling and mental health services another, hospital services another, social care are often employed by the local authority, and many voluntary sector organisations are also involved especially Age UK North Tyneside.  Urgent and emergency care can be different organisations again.

This is the right way to get you the best care, since each organisation has a different focus and each is able to bring the very best of care including the specialist care that you need for each aspect of your condition(s).  A single organisation wouldn’t have the right focus on each aspect of care.

At the heart of all of these different teams is your usual GP, the GP Practice (or family practitioner) where you are registered, who coordinates these services.  With their enormous experience and their commitment to your whole person and whole life, cradle to grave (actually more than that, from fertility to bereavement counselling), your GP is absolutely key. Your GP is best placed to decide if this service is right for you at this time in your care.  We’re only aiming to accept around 1000 people resident in Whitley Bay in the first year, so if you are put forward then you are very special.

How to join Care Plus as a patient

Once your GP has recommended you, then we need to confirm that you know what is happening, and have a chance to consider it (with family, friends, supporters as well if you like).  You decide first, before we go any further.  Of course our staff will need to check your medical history and current conditions to make sure that you really are suitable and will benefit, but we don’t look at your records until you consent.

What happens next

Our GPs (who have a special interest, special experience and knowledge, of frail patients) will work closely with your GP and the various organisations who support you at the moment to work out the best way to improve your health and stop those exacerbations – the times when your symptoms flare up and you have to call an ambulance or a doctor.

We’ll check your medication, who’s visiting when, what works well and what doesn’t; if our experience tells us that you are missing any support that would help you to feel better and be healthier, and then we’ll discuss this with you.

For the months that you are with us, all of your care comes through our team, and you will phone our team (in hours) if you have a query or a problem.  We expect that we’ll be able to discharge you back to your usual GP once you are as well as you can be and stable, and a few wrinkles about your care have been ironed out.

If you want to send a compliment, or want to complain

If you would like to fill in a Satisfaction Survey, then you can do one online, or use the paper version available from the service.

If you would like to send an email then please write to: enquiries@tynehealth.org.uk Please remember to put your contact details.  Note that we don’t send patient or service user care information by email or give it out by phone, and if you want your complete health record then you need to ask your own GP.