Ageing Well Team

Who are the Ageing Well team?

The Ageing Well team are a multidisciplinary team supporting older patients.

The team has occupational therapists, community matrons, a pharmacist and care coordinators. They support patients with mild/moderate frailty, dementia and mental health decline.

What does the Ageing Well Team do?

Their aim is to keep people with with frailty needs as well as possible in their own homes. This helps patients to stay as independent as possible, maximises quality of life and involves the patient in their advanced care planning.

The Ageing Well team offer an assessment for patients in their own home. This allows the team and patient to identify their health and social care needs. They usually provide between 1-3 visits. This allows time to deliver interventions, make referrals and sign post other services.

How can the Ageing Well Team can help?

The following are examples of what the Ageing Well Team can help with:

  • Basic equipment provision
  • Assistive technology
  • Sleep management
  • Fatigue management
  • Activity planning to maintain/improve independence
  • Strategies to promote comfort and reduce distress
  • Memory assessment and management strategies
  • Mood and anxiety management
  • Advanced care planning
  • Managing Delerium
  • Preventative falls advice
  • Dementia Reviews

How to Book

You can request a review from the team by calling us, sending an online request or popping in to the surgery.

Please give a brief description to the receptionist as this will help the team. They will then telephone to arrange a visit to your home. The Ageing Well Team’s initial contact is usually within a week.