Community matrons service (proactive care)

The community matrons work with people who have a long term condition and are at high risk of being admitted to hospital when they are not acutely unwell.

The service works with district nursing, rapid response, GP’s, social care, mental health professionals, the voluntary sector and colleagues at Royal Surrey hospital to ensure that individuals receive proactive nursing support, advice and care.  The proactive care service work closely together to ensure that individuals and their families / carers have the advice, support and information they need to either regain or maintain their independence at home.

Community matrons are registered nurses with additional training, skills and qualifications in the management of long term conditions, cognitive impairment and dementia, working with older people to support long term health needs, reviews of medication including nurse prescribing, carer / family support, in depth knowledge and networks with services across the local area.

The service is for adults with long term conditions following a referral from your GP or other health or social care professional.  Generally people who require input from this service are aged over 65 years.

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