Chronic Care Co-ordination Service

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    Chronic Care Co-ordination Service - Southport & Formby

    We offer patients discharged from hospital, with long term conditions and or a high risk of re-admission into hospital, a 5 week pathway post discharge. 

    The Chronic care team is made up of experienced nurses, who work closely with the GP, community matrons and other community services. We offer:

    • Health reviews via telephone consultations and home visits.
    • Medication advice and support.
    • Support and advice on social care issues.
    • Referral to other services as appropriate.
    • Symptom advice, enabling patients and their families/carers to recognise the early signs, symptoms and changes in health that indicate prompt action is required by them.
    • A clear and robust process to follow in seeking prompt advice and assessment at the time needed.
    • Patients are encouraged to call the Chronic care team if they become unwell or need advice so that they can be signposted correctly.

    How to access the service

    Referrals are currently generated from Southport hospital.

    Patients are identified by using the Lace tool, ward staff send over the discharge summary and lace tool.

    We also accept patients from GP surgeries whom the GP thinks would benefit from our service.

    All patients that have had access to our service are given our telephone number and informed they can call us at any point in the future with any concerns.

    We currently operate Mon-Fri 8am - 6pm.

    Please follow this link to download a copy of our leaflet

    Where we are based

    Chronic Care Co-ordination Service
    Room 17
    Ground Floor
    5, Curzon Road

    Telephone number: 01704387264 (Answer phone out of hours)

    Fax Number: 01704387699

    Useful Telephone Numbers West Lancashire:

    Social Services - 0845 053 0009
    Help Direct - 0303 3331111
    West Lancs Health Centre - 01695 588800
    Walk in Centre (Skelmersdale) - 01695 588640
    Hants Lane District Nurses - 01695 588588
    Sandy Lane District Nurses - 01695 732927
    Tarleton District Nurses - 01772 325182
    Community Matron - 01695 588 591

    Useful Telephone Numbers Sefton:

    Social Services - 0845 1400845
    Walk in Centre (Litherland Town Hall) - 0151 4754667
    Formby District Nurses - 01704  835513
    Churchtown District Nurses - 01704 215480/ 214238
    Ainsdale District Nurses - 01704 387135/ 387134
    Curzon Road District Nurses - 01704 387107/387105
    Community Matrons - 01704 387 255