Sutton Health and Care at Home

Sutton Health and Care at Home is an innovative model of care, developed and delivered jointly by local health and social care organisations to deliver health and social care at home and in the community.

We do this by working together to respond promptly to people in need to reduce unnecessary hospital admissions. This includes access to diagnostic tests and diagnosis (as required) and ensuring you have the appropriate support at home.

Where a hospital stay is required, we will work with you to get you home as soon as you are well enough, with the necessary health and care package in place.

Who is in the team?

You may see a variety of staff, including nurses, doctors, social workers, therapists, GPs, reablement (staff who will help you regain a level of independence to remain safely at home) and home care staff. Our team have years of experience caring for patients with complex health and care needs.

Who can access the service?

The service is for people aged 18 or over with complex health and care needs, who live in the London Borough of Sutton or who are registered with a Sutton GP.

You may be referred to the service by any health or social care professional. You can also self-refer if you have been under the care of the service before.

What you can expect from us

Working with local people, we have developed a series of statements which we would like every person who accesses Sutton Health and Care at Home to be able to say yes to - we call these ‘I-statements’. These are:

Timely

  • I receive care from the right people, at the right time in the right place.
  • I am able to be discharged at a convenient time knowing I have support.
  • I feel satisfied that I know who will be involved in my care at my usual residence.

Joined up

  • I only have to tell my story/my needs once to the team.
  • I have the help I need to access and find my way through the service.
  • I have a supportive team working with me to deliver my care.
  • I am making decisions about my care and my team understands my needs and preferences.
  • I am able to ask questions and get answers that I can understand.
  • I understand my care plan.

Person centred

  • I am making decisions about my care and my team understands my needs and preferences.
  • I am able to ask questions and get answers that I can understand.
  • I understand my care plan.

Safe

  • I receive the help I need to be confident in my usual residence.
  • I have the knowledge and ability to manage at my usual residence.
  • I am supported to stay healthy and well at my usual residence.

Responsive

  • I know who to speak to if I have a problem or need support, as do my carers/family
  • I am treated with compassion, understanding and respect by the team providing my care.

Sutton Health and Care at Home Hospital Hub

Based at St Helier Hospital, our Hospital Hub Team, which consists of therapists, nurses, social workers, and GP, work together and with hospital services to identify patients in the Emergency Department, Acute Medical Unit and on the wards, who’s condition could be safely managed at home with the right support, reducing length of stay and unnecessary admissions.

Contact us

If you have any questions, or would like further information, please contact your named lead clinician (you should be able to find this on your alert card if you have been issued with one).

For general enquiries, you can also contact the Sutton Health and Care at Home office on 020 8296 2187.