Care Coordination

A Care Coordinator works in a doctor’s surgery to help patients understand their health and get the care they need. They make sure all the different people helping the patient — like doctors, nurses, and other services — work well together. They also help patients learn how to manage their health and connect them with support groups or organisations that can help.

At the surgery we have three Care Coordinators: 

Sarah: Team lead. She invites patients to come in for yearly reviews, especially those with long-term illnesses like asthma, high blood pressure and diabetes. She also looks after cancer care pathways, NHS Health Checks and special clinics. Alongside this she also supports patients, and the rest of the team. 

Victoria: Helps people who look after family members or friends (called carers). She can refer them to a monthly Carers Surgery and make sure they are on the Practice’s Carers Register. She also looks after our housebound patients, older patients that may be lonely or isolated and looks after our cervical screening processes. 

Gemma: Looks after our patients that have dementia, learning disabilities or a severe mental illness. She ensures they are invited for their annual review and that they have any support they may need. 

If you would like to speak to a care coordinator, please let the reception team at your surgery know and they can put you in contact.

Why You Should Go to Your Yearly  Review

If you have a long-term health condition, like asthma, diabetes, or high blood pressure, it's important to see your health care assistant or nurse every year.

These check-ups help keep you safe and well.

What Happens at Your Review?

•  We take a blood sample

•  We check your blood pressure

•  We look for any early signs of problems

• We may arrange follow ups as needed with nurses, pharmacists or GP's. 

Why It Matters

Even if you feel fine, your condition can change over time.
A yearly review helps stop small problems from becoming big ones.

When Will I have My Review?

We aim to review all long-term health conditions around your birth month.

We will let you know when you can to book your appointment. This will be through a text or letter.

Information Pages

Long-Term Condition Yearly Review Information

Diabetes Yearly Review Information

Mental Health Yearly Review Information

High Blood Pressure Information

Statins Information