The Enfield Community Matron and Anticipatory Care Planning services run alongside each other.

Community matrons are senior, experienced nurses and autonomous practitioners with enhanced skills, including:

• independent prescribing
• physical assessment
• advanced care planning.

Community matrons facilitate and promote independence in the community by proactive case management, minimising inappropriate and unplanned hospital admission/attendance.

The Anticipatory Care Planning service provides health and wellbeing support for people earlier in their healthcare journey/diagnosis, enabling people to better self-manage their health and improve wellbeing.

Anticipatory Care Planning team members include a mental health nurse, case finders, care navigators and peer workers who have lived experience.

The Community Matron and Anticipatory Care services hold regular multidisciplinary meetings and work closely with other healthcare professionals, GPs, social services and voluntary sectors.

The service is available Monday to Friday, 9am-5pm.
e: northmid.ecsadultsinglepointofaccess@nhs.net
t: 020 8702 5811

Eligibility Criteria

Inclusions

• 18+
• resident of Enfield and registered with an Enfield GP
• one or more long term conditions/disability
• frailty score 5-7(moderate to severe) 
• individuals with long-term conditions who have recently needed emergency hospital treatment
• individuals who frequently consult their GP
• individuals who have health and support needs.

Exclusions

• under 18 
• acute or unstable mental/physical health 
• severely frail (frailty score above 7)
• non concordant to treatment/not consenting

How to Refer

Locations

Lucas House

Pine Lodge