Helping our patients stay at home

Haxby Group patients will benefit from a new pilot scheme to improve their health and help them stay out of hospital.

Haxby Group is working with a number of health, social and voluntary sector organisations in York to help patients get better support at home. The aim is to prevent people needing to be admitted or readmitted to hospital.

The scheme, known as the “Integrated Care Pilot” is being run by the Vale of York Clinical Commissioning Group (CCG) and also includes Priory Medical Group, MyHealth and Unity.

By providing extra support for these high risk patients, it is hoped that they will be able to stay at home and avoid going into hospital.

A special York Integrated Care Team has been set up to co-ordinate the care of these patients referred by their GPs. They will review patients’ hospital admissions and discharges, meeting every day to discuss the care of each patient. A care co-ordinator will also contact patients and work with them to create a care plan and provide the support they need.

Dr Mike Holmes, GP partner at Haxby Group, said: “We’re pleased to be part of this pilot which gives our GPs direct access to a new team which will support our patients. We know from talking to our patients that they prefer to stay at home, but can only do this with extra help.”

 

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