Other services at Narberth Surgery

• Pharmacist Clinic:

Sarah Bevan will review Patients current medication to ensure the correct usage, dosage and medication is being prescribed for the condition being treated.

• Occupational Therapist Review

Assisting Patients living in their home, accessing service and equipment to prevent accidents and hospital admissions. (CRT Referral)

• Outreach Nurse for the Elderly

Kenna Crawford will support patients in the area, in their own home and in care homes in an effort to reduce the numbers of avoidable hospital admissions, especially at the end of life stage, and to reduce the numbers of non - urgent GP calls out. (CRT Referral)

• Heart Failure Clinic

Alison Turner will provide a clinic closer to home for those Patients with Heart Failure (Monday)

• Schools Respiratory Project:

Dave Edwards will provide advice to all teachers, parents of and children with Asthma in Pembrokeshire Schools and educate regarding asthma/COPD, inhaler techniques and healthy lifestyle.  (in conjunction with PCC)

• Community Resource Team

Practice Meeting to better co-ordinate the health and social care for some of our most complex patients. (Direct Referral)

• Advanced Care Planning

The Paul Sartori Foundation can provide assistance with Advance Care Planning (Direct Referral).  Education and support for practices to ensure that patients maintain their dignity and autonomy whilst being offered support, with care directed by the patient’s wishes

• Community Connectors

Jo-Brookman Lloyd can support people to take positive steps to improve health & well being, social interaction and help them enjoy life within their communities. (Direct/CRT Referral)

•  Welsh Ambulance Service Trust

Frequently attending patients are those who attend Emergency Departments or other health care facilities/services more regularly than other members of the population.   We work with WAST to understand triggers and crisis points that bring patients to the point of needing help regularly and create bespoke plans that involve all agencies across the board. help reduce the patient need for unscheduled services and increase their health and well-being by ensuring they get consistent, appropriate care from the right provider.

•  Mid and West wales Fire & Rescue Service - Safe and Well Visits

A Safe and Well Visit includes all the contents of the home fire safety checks but will also include other safety messages that may be relevant to the people living in the property. The five main additional topics will cover:

Smoking cessation - Home security - Falls prevention - Scamming awareness - Tackling loneliness and isolation

• Partners for the Journey

Partners for the Journey Physical and Mental health can be affected by underlying worries and anxieties as well as by loneliness and a lack of support. Mind Pembrokeshire & Pembrokeshire Citizens Advice are working together to be able to provide the support and the practical advice that people need to resolve issues and to improve well-being.

• MIND

Contact Karina: 07813 797615 / support@mindpembrokeshire.org.uk Citizens Advice - Contact Joy: 01437 763080 / communityadvice@pembscab.org

• Youth Project

A service for Children & Adolescents presenting with mild/moderate mental health problems, behaviour issues, anxiety, low self-esteem, anger management, self-harm, emotional resilience. (Task referral to Rebecca Thomas).

• Integrated Care Network

Identify Patients with long-term conditions who attend the GP practice or engage with multiple organisations frequently to proactively develop a care plan to mitigate unwarranted access demand across the system, or those who fail to engage with the Practice entirely too proactively develop a care plan to mitigate acute/emergency access demand across the system (CRT Referral)

•    PAVS – IT Connect

Tablet Loan Scheme – Free two-month loan offer for patients registered in Pembrokeshire.

communityconnectors@pavs.org.uk 01437 769422 / 07595 192932

•    Pembrokeshire Community Hub

One-stop shop for advice, guidance, information and sign posting.

•    Optometry

Optometrist Independent Prescribers enable them to manage acute eye problems within the primary care optometric setting. This practitioner will act as a prescribing hub for the cluster, therefore decreasing the numbers of referrals from primary care optometrists to GPs and secondary care therefore freeing up capacity in these settings.

•    Cluster First Contact Practitioner – Musculoskeletal Specialist

An MSK will see patients attending the surgery with joint/muscle pain. Alternatively a self referral can be made to physiotherapy by clicking Pembrokeshire physio self referral