Community Matrons Service

The Community Matrons Service provides intensive, personalised care and support for adults living with complex and chronic long-term conditions.

Our team of advanced nurse practitioners works closely with patients, carers, and relatives to help you stay safe and healthy in your own home or chosen environment. We focus on promoting self-management, reducing the need for unscheduled care, and supporting early discharge from hospital when needed.

  • Individual clinical management plans tailored to your needs
  • Education and support for patients and carers about your condition
  • Help to self-manage your health and wellbeing
  • Case management and coordination across health and social care professionals
  • Support for those with long-term conditions and the frail/elderly

Service hours: Monday to Friday, 9am to 5pm. Out-of-hours telephone advisory support for care homes is available seven days a week, including bank holidays, 5pm to 8am.

How to access: Referrals can be made via our Care Coordination Centre. Please complete the referral form and email it to VCL.DGSS-CCC@nhs.net. For enquiries, call 0300 247 0400.

Areas served: Dartford, Gravesham, Swanley, and Swale.

Cost: This is a free NHS service.

Categories:
Leaving hospital
Activities for older people
Care at home
Day to day helping hand
Managing a long-term health condition
Services for older people
Additional needs catered for:
Takes place in the client’s home
nurse care,care at home,support,chronic disease support
Who can refer: Self referrals only
Disclaimer: Please note that services on the Joy Marketplace are independent and are not necessarily endorsed by your locality/area.