Our Services

Adult Community Health Services

Image of Community Nurse at Haslemere Hospital  

Proactive Care Service

The community matrons work with people with long term conditions, at high risk of inappropriate hospital admission. The service is integrated with the district nursing & rapid response teams, GPs, social care, mental health professionals, the voluntary sector and acute hospitals.

The proactive care service aims to ensure those individuals and their families or carers have the advice, support and information they need to either regain or maintain their independence at home.

Who is the Proactive Care Service available for?

The service is available for adults aged over 18 who are registered with a Guildford & Waverley GP and who have complex needs living in their own or residential homes.

How can I arrange an appointment to see a community matron?

You will be referred by your GP, health or social professional or following an admission to hospital.

Where are appointments held?

The community matron will visit you at home or in a clinical setting.

What will happen at an appointment?

The community matron will work with you to provide an individualised care plan to help you remain at home and to prevent any unnecessary hospital admissions.

The community matron will be able to co-ordinate your care with other services such as social care and the voluntary sector to support your health and wellbeing enabling you to remain well and at home.

What should I bring to my appointment?

Please share details of medication that you are on or any discharge letters and any other services involved in your care.

When is the service available?

Contact to the service is available through our Community Co-ordination Centre on 01483 362 020 which operates 365 days a year 8am - 8am.

Appointments will be arranged according to your needs.

How can I tell you what I think of the Proactive Care Service?

We very much value feedback from all of our patients, and may ask you to complete a satisfaction questionnaire after your appointment.

How can I contact the Proactive Care Service?

Please ring our Community Co-ordination Centre on 01483 362 020.

Where can I find more information?

You can find more information here: https://www.nhs.uk/

Royal Surrey Charity