The Trafford Co-ordination Centre is a brand new approach to healthcare with the patient at its heart. Sometimes being in hospital can highlight areas where a person is starting to need some extra support at home.
Alice* is someone who has always taken care of herself at home but as she is getting older certain things are getting more difficult.
Following a recent stay in hospital and, knowing she had no care support at home, she was identified as being someone who would benefit from being looked after by the care co-ordination nurses.
Soon after arriving home from hospital one of the nurses rang Alice with a welcome call to check she was comfortable and had everything she needed. They arranged with her to call every few days to check on her progress.
Being a proud lady Alice doesn’t like to bother people however, during one of these calls, it was apparent she wasn’t managing very well and she admitted that she needed a little extra help while she was recovering.
Initially the team contacted a voluntary organisation who put in some small support measures which Alice really appreciated. When the nurse next called Alice there were still certain things that she was finding hard. The nurse recognised that there was a high risk of the situation deteriorating which would result in Alice potentially being readmitted to hospital.
After talking the situation through with Alice the nurse established that there were no immediate life threatening symptoms so they arranged for some extra support that enabled her to stay safe and well in her own home. Alice is now recovering well with the reassurance that she can ring the care co-ordination nurse at the Trafford Co-ordination Centre at any time.
*names have been changed to protect the patient’s identity