Who might be involved in my care at home?

GP (General Practitioner)

Your GP plays a vital role in your care and will continue to have overall responsibility for your care. The GP will work with the team to ensure your medical, emotional, social and spiritual needs are supported and care is coordinated.   Health care professionals meet regularly to discuss patients on the end of life register especially where their needs are changing. To access out of hours, GPs transfer their phones when they close so if patients dial their main surgery number, the call will be transferred automatically to 111.

South West Yorkshire Partnership Foundation Trust (SWYPFT) Community Services

Mount Vernon Hospital

The older person’s inpatient rehabilitation unit is located on wards 4 and 5 at Mount Vernon Hospital. The service is predominantly for older people (aged 55 and above) although there may be times when the needs of younger adults are best met at this unit.

Palliative care and last days of life care is delivered on the wards by the ward team, accessing and working alongside specialist palliative care team (community Macmillan Nurses and Consultant in Palliative Medicine) as needed. Last days of life care is provided in a co-ordinated person centred way supporting physical, psychological and spiritual wellbeing.

Palliative care may include rehabilitation and maximising quality of life to enable supported community discharge. The inpatient multi-disciplinary care team consists of doctors, nurses, physiotherapists, occupational therapists, speech and language therapists and Dieticians. The team works in close partnership with specialist nurses, end of life care team, pharmacist, social workers and district nursing teams.

Long Term Conditions Services

Within your home environment we have a portfolio of services that may be involved in your care. These include Community Matrons and Specialist Nurses. The Specialist Nurses are Diabetes, Heart Failure, Parkinsons Disease, Epilepsy and Chronic Obstructive Pulmonary Disease, (COPD).

Their role is to provide a comprehensive assessment of your health and social care needs and with your consent and agreement may act as a key worker to co-ordinate your care.

The Community Matrons and Specialist Nurses work closely with other members of the multi-disciplinary team including District Nurses, Palliative Care team (Macmillan Nurses), Supportive Care at Home team and GPs.

District Nursing Service

District Nurses are highly skilled professionals who may be involved in visiting you at home. The District Nurses work as part of a team which includes Sister/ charge nurse, staff nurses, associated practitioners, health care assistants and phlebotomists. The district nursing team will visit and provide care according to your individual needs. They work alongside other members of the wider health care team including your GP.

Who can refer to the service?

Anyone can refer to the service including GP’s, secondary care, patients, carers, relatives and any other health professional

How to refer to the service

Referrals can be made to the Community Nurse Referral Centre Monday to Sunday 09:00 – 17:00 by telephone: 01226 644575 or fax: 01226 785690.

Please provide as much information as possible to enable the DN to prioritise the referral and to avoid duplication.

Rapid Response

Rapid response are sometimes contacted by GPs to support people who are reaching the end of their lives and are and are having difficulty managing at home. Alternatively referral may be made by the hospital team to support discharge. Initially our nurses assess and arrange the required multi-disciplinary support in the community; supplying equipment and arranging appropriate ongoing care.

Between 16.45 and 08.45 when District Nurse communications are closed our number 07747794698 is available for patients/carers to call for support advice or to request a visit to support their end of life/last days of life care.

Allied Healthcare Professionals

Domiciliary Physiotherapy

Domiciliary Physiotherapy may be involved in the care of patients on the end of life pathway if intervention is required in the following areas:

  • Assessment of mobility and provision of equipment if required
  • Assessment for the prevention of falls
  • Chest management and advice
  • Acupuncture/Tens for pain relief

www.barnsleytherapy.co.uk
www.southwestyorkshire.nhs.uk

Care Navigation

What does the care navigation and telehealth service do?

  • There are a variety of things we can help with, depending on your individual circumstances. We will tailor our care to best suit you. This includes:
  • Personalised information and advice about your condition
  • Help to access local services that would suit you
  • Monitoring and observing your condition using a special piece of equipment in your home Support to help you identify things that could help improve how you feel
  • Helping you spot early changes in your condition that require medical attention, to prevent things from getting worse
  • Motivating you to work towards and achieve any goals – we’ll even help you set your goals and give you regular, friendly encouragement!

Our NHS phone service is led by nurses. It is totally free, quick, easy and convenient to use. Find out more by calling us or visiting our website – where you can also watch short films about Barnsley people.

Barnsley care navigation and telehealth service Freephone: 0800 612 1976
www.takecontrolBarnsley.co.uk

If you have an ongoing illness or condition e.g. Diabetes, Stroke, Heart Disease, Asthma, High Blood Pressure or COPD – we can help.

Supportive Care at Home Service

Who are Supportive Care at Home Service?

Barnsley Supportive Care at Home Service (SCHS) are part of South West Yorkshire Partnership NHS Foundation Trust and provide practical, emotional and physical support to patients and carers. We know how difficult it can be caring for someone who is suffering from a life limiting illness, with this in mind the service aims to provide individualised packages of care offering the choice to be cared for at home where possible. Patients will be receiving care from other services. This will continue, but Supportive Care at Home may be asked to offer some additional care and support at home. The team includes:

  • Qualified nurses
  • Health care assistants
  • Administration staff

Service coordinator Care is provided seven days a week, including weekends and Bank Holidays.

How can we help?

  • Referrals to SCHS are made by health and social care professionals. This could be:
  • To give the patient and carer support
  • To provide care during the daytime to allow the main carer to go out
  • To provide a supportive presence at home
  • To provide a qualified nurse who can stay with the patient to assess pain or symptom management
  • To provide a staff member who can stay overnight with the patient to allow the family or carers to get some rest
  • Or additional care and support is required because the patient is approaching the last days of life.

When can you expect to see us?

Following referral the service coordinator will contact you to discuss your care needs.

Patients may be in hospital or hospice and express a wish to go home

Patients may be at home and require additional care and support.

We will require your consent to liaise with other health and social care colleagues to discuss your care needs. An individualised plan of care will be developed. We will contact you to arrange the start of your care. Your care will be regularly reviewed and assessed and we will keep you informed regarding availability and times of visits. You are welcome to contact us at any time to discuss care.

How do you access the service?

These are some of the services that with your agreement can make a referral to Supportive Care at Home Service:

  • District nurse
  • GP
  • Hospice staff
  • Hospital staff
  • Specialist nurses
  • Macmillan nurses
  • Community matrons
  • Rapid Response

Social Services Care is provided subject to discussion with the patient or family and carers. All care provided is subject to availability and dependent upon the needs of all patients referred to the service. Please feel free to contact the service to discuss your care needs.

How to contact Supportive Care at Home Service Telephone: 01226 644750

If we are out of the office messages can be left on the answer machine.

If you require a doctor urgently you should contact your own GP or the out of hours service.

Useful telephone numbers:

District Nursing Service 01226 644575
Rapid Response Service 01226 644560 or 07747 794698 (ask the operator to put you through to Rapid Response)
Community Macmillan Service 01226 644755

Key Workers

What is a key worker?

They are a person who, with your consent and agreement, will take a key role in co-ordinating your care. They will help to provide you with the support and advice you need about your long-term condition.

What is a long-term condition?

A long-term condition means something which cannot be cured but where medication and other therapies can be used to try to control the symptoms of the condition. The most common long-term conditions are:

  • Hypertension
  • Asthma
  • Diabetes
  • Coronary heart disease
  • Stroke and transient ischaemic attack (also known as a mini stroke)
  • Chronic kidney disease
  • Chronic obstructive pulmonary disease
  • Heart failure
  • severe mental health conditions
  • Epilepsy
  • Some types of cancer
  • Parkinson’s disease
  • Dementia

What help can I get?

The Trust provides a range of services to help people manage their long-term condition and the difficulties it may cause. We provide both home visits and clinic appointments. There is also a Care Navigation and Telehealth Service which provides support over the phone to help people take control of their ongoing illness. Your key worker will talk to you about the alternative ways in which you can receive support.

What will my key worker do?

  • Listen to you and assess your needs
  • Explain how they can help you and provide you with contact details so you can get in touch with them when needed
  • Give you and your family/friends/carers the opportunity to develop an understanding of your condition and the best ways to manage it
  • Together with you, and your family/ friends/carers, they will develop a plan to support you and help you to manage your needs
  • Provide consistent support to help co-ordinate your care
  • Explain any changes in your condition to you and answer questions you may have
  • Consider your carer’s needs and try to support them
  • Offer you the opportunity to discuss your preferences and priorities for your future care so we understand what is important to you
  • Agree with you when to review your plans to ensure we are meeting your needs
  • Alter your plan of care as your needs change, in partnership with you
  • Liaise and refer to other health care service providers as appropriate and with your agreement

What is our aim?

To enable people to reach their full potential and live well in their community. What are our values?

  • Honest, open and transparent
  • Respectful
  • You are our priority
  • Improve and be outstanding
  • Relevant today, ready for tomorrow
  • Families and carers matter

Useful telephone numbers:

Barnsley Care Navigation and Telehealth Service Helps people in Barnsley take control of their ongoing illness or long term condition.

Freephone 0800 612 1976

www.barnsley.gov.uk

This website might help you to find support services.

NHS Choices
www.nhs.uk

Below are some contacts that you may find useful:

Age UK 0800 169 6565
Barnsley Change4Life weight management service 01226 737060
Barnsley Stay Put 0114 256 4270
Barnsley Welfare Rights 01226 772360
Carers information Crossroads Care 01226 731094
Domiciliary Physiotherapy (Mobility assessments) 01226 433112
Enable Barnsley 01226 787855
Energy Saving Trust 0300 123 1234
Healthwatch Barnsley 01226 320106
Improved Access to Psychological Therapies (IAPT) 01226 707600
Independent Living at Home 01226 775671
MIND 01226 211188
Stop Smoking Service 01226 737077

Community Macmillan

Our team includes:

  • Clinical nurse specialists
  • Dietitian
  • Medical consultants
  • Occupational therapist
  • Physiotherapist
  • Social worker
  • Speech and language therapist
  • Administration staff

Day to day care is provided by District Nursing teams, Care Agencies and GPs. We have been asked to visit you to provide some additional support. Our team has special expertise and training to provide this.

What can you expect?

We will visit you to discuss and assess your needs and form a plan to help meet those needs. This may include:

  • Advice for you and your family
  • Management of pain and symptoms
  • The opportunity to discuss your emotional issues
  • Advice and information about different treatments
  • Information about other services available

Working with other people involved in your care, such as your GP and district nurse to support you in the best way we can.

When can you expect to see us?

The team member will discuss with you how often they will contact you. This will depend on your individual needs. We work routinely Monday to Friday 9am – 5pm and we provide a limited weekend 9am – 5pm service for difficult symptoms and difficult emotional problems.

If you require a doctor urgently you should contact your own GP or the out of hours medical service. If you no longer require support from us you may be discharged from our service. However, if your needs change you can ask your GP or district nurse to re refer to us for further help and support.

To contact us please phone 01226 644755 Monday to Friday 9am to 5pm 01226 644575 Weekends and bank holidays 9am to 5pm (limited service).

Macmillan Helpline 0808 808 00 00

Macmillan Cancer Support
www.macmillan.org.uk

Barnsley Community Equipment

The community equipment service aims to help people towards independence and improve health and wellbeing by loaning equipment and daily living aids. The service is for people of all ages and can be accessed if you are a Barnsley resident and are registered with a Barnsley GP.

Requests for equipment are made by a healthcare professional, such as a physiotherapist, occupational therapist or doctor. The community equipment service offers the following:

  • The loan of health, social and medical equipment
  • Delivery and collection within Barnsley (for those eligible)
  • Service, maintenance and repair of equipment
  • Advice to staff and service users
  • Fitting and assembly
  • The management of equipment for other services across the Trust.

The community equipment service provide a variety of health and social care equipment including aids for walking, mobility, toileting, showering, bathing, daily living, specialist beds, electric mattresses and nebulizers. The service also provides wheelchairs on a short-term basis.

Important information

Why have we loaned you this equipment?

The community equipment service loans and manages all equipment. We work closely with health professionals, medical departments, health services, hospitals and GPs throughout the district to provide this service.

You will not be charged for the loan of the equipment, cost of servicing or reasonable repairs. While you have this equipment, we may contact you to reassess your needs or organise service visits.

Your obligations

Your equipment has been loaned to you for the period your health professional has recommended. Please look after it and make sure that it is in a good condition when returned, as you may have to pay for the cost of the repair or replacement if it is damaged.

Your equipment should not be loaned to anyone else as you may put them at risk. It has been provided to you for your personal use following an assessment of your individual needs. Please do not alter or modify it in any way.

Please return your equipment as soon as it is no longer needed, you can contact the community equipment service using the details below to arrange this.

Phone: 01226 320990

Take to: Unit 33 Grange Lane Industrial Estate, Carrwood Road, Stairfoot, Barnsley, S71 5AS Open 9.00am until 4.00pm, Monday to Friday

E-mail: equipment.store@swyt.nhs.uk Fax: 01226 320991

Barnsley “drop in” mobility clinics:

Every Wednesday, 9.30am to 11.30am

At the mobility clinic, a physiotherapist can assess you to see if walking sticks and elbow crutches may benefit you.

The clinics are held at: New Street Health Centre Upper New Street, Barnsley, S70 1LP

For further information call the domiciliary physiotherapist services at New Street Clinic on Tel: 01226 644559

Useful contact numbers

Community equipment service 01226 320990
Out of hours breakdown 01226 644575
Enable Barnsley 01226 787855
Adaptations and sensory team 01226 775800
New Street Clinic Domiciliary physiotherapy 01226 644559
Occupational therapy 01226 644556
Occupational therapy Barnsley hospital 01226 432875
Paediatric occupational therapy / physiotherapy 01226 714850
Red Cross (wheelchairs) 01709 879451
Clarke & Partners (Wheelchairs) 0114 2293360
Orthotics department Barnsley hospital 01226 432746
Community palliative care team 01226 644755
Barnsley hospice 01226 244244
Kendray hospital reception 01226 644400
Rapid response 01226 644560

Domiciliary Carers, Care Managers, Cleaning Help and Central Call

Connect to Support is a new website for people needing support in Barnsley. You can find everything you need to help you with your support here, from local to national products and services, plus information and advice and much more.

www.connecttosupport.org

Voluntary Sector

Voluntary Action Barnsley provides a wide range of services to aid you and your organisation. Feel free to browse this section to find out more about VAB and the many ways we can help. If you need to get in touch, go to the contact page and email us or give us a call.

Pharmacy – out of hours

NameAddressTelephone
AM Clark Ltd1 Market Place, Penistone, Sheffield S36 6DA01226 763103
Asda PharmacyOld Mill Lane, Barnsley S71 1LN01226 704810
Cohens Chemists16-18 Market Street, Hoyland, Barnsley S74 9QR01226 743223
Cohens ChemistsApollo Court, High Street, Dodworth, Barnsley S75 3RF01226 203921
Lloyds PharmacyOaks Park Primary Care Ctr, Thornton Road, Kendray, Barnsley S70 3NA01226 284843
Lloyds PharmacyUnit C1, Barnsley Trans interchange, Midland Street, Barnsley S70 1SE01226 289620
Lo’s Pharmacy LtdQueensway, Grimethorpe, Barnsley S72 7LJ01226 711243
Lo’s Pharmacy LtdCockerham Hall Mews, 17 Huddersfield Road, Barnsley S70 2LT01226 281666
Lo’s Pharmacy Ltd51 High Street, Worsborough Dale, Barnsley S70 4SQ01226 282532
Rowlands Pharmacy5 George Street, Wombwell, Barnsley S73 0DD01226 753355
Weldricks PharmacyThe Goldthorpe Centre, Goldthorpe Green, Rotherham S63 9EH01709 893287
Weldricks PharmacyWelfare Road, Thurnscoe, Rotherham S63 0JZ01709 892207

Certain chemists keep a stock of medication particularly for palliative care. If a doctor has prescribed medication and it is needed quickly the above chemists may be able to help.

Also Asda chemist opening hours are 7 am – 11pm Monday to Friday 7 am- 10 pm Saturday and 10 am – 4 pm Sundays and Lloyds at Midland Street open 8.30 am to 8pm Monday to Saturday and Sunday 10am – 6 pm. This information is correct as of April 1st 2014.