What do we do?
The South Tyneside Integrated Care Team brings together health and social care. The team is made up of District Nurses and Community Matrons, Social Workers, Occupational Therapists and a Social Navigator. They are based together in the same office which improves communication, information-sharing and the overall care provided. We provide the Social Navigator Service, taking referrals from Team.
Why do we do it?
Our Navigator supports people to get involved in the local community and improve their health and wellbeing. South Tyneside has a community rich in assets and we encourage people to explore the groups and services available to them. For more information about what’s on South Tyneside, please visit Wellbeing Info.
How do we do it?
We accept referrals from members of the Integrated Care Team, there is no criteria for entry. We offer people an appointment to discuss their situation and where we could offer support. We also provide advice on local community assets to members of the team. We are connected to a wide range of local assets which can be used to support independence and wellbeing in clients. The Patient Activation Measure (PAM) is used to show improvements in patient activation and an upward movement is linked to a decrease in health and social care costs. Due to the nature of some conditions, we are not able to carry out PAM on all clients.
What are our results?
We have worked with people between the ages of 19 and 98 years old, the most common age group is the 81 year plus group. The average PAM change is an increase of 10 points for people in the two lowest activation levels. Please read some of our people’s stories.