Westminster Community Matrons Service

Who is a community matron:

• Experienced senior nurse with a background in community nursing.
• Key figure in managing and coordinating care for patients with complex health needs.

What is our role:

• Comprehensive Assessments: Conduct thorough assessments of patients' physical, psychological, and social needs.
• Care Planning: Develop individualised care plans, set goals, monitor progress, and adjust care as needed.
• Coordination of Care: Act as a central contact point, coordinating with GPs, specialists, nurses, social workers, and therapists.
• Medication Management: Help patients manage medications, understand prescriptions, and monitor side effects.
• Patient Education and Support: Provide education on disease management, lifestyle changes, and self-care strategies.
• Monitoring and Follow-up: Regularly monitor patients' conditions through home visits, phone calls, and other communication.
• Advocacy: Advocate for patients to ensure they receive appropriate services and support.
• Holistic Care: Consider all aspects of a patient's life, including mental health, social circumstances, and overall well-being.
• End-of-Life Care: Coordinate palliative care for patients with severe frailty, focusing on comfort, dignity, and quality of life.

By providing consistent, coordinated, and compassionate care, community matrons improve the quality of life for patients with complex health needs and reduce the burden on hospitals and emergency services.

Community Matron Criteria:

• Over 18
• Resident in Westminster
• Registered with a Westminster GP

Key Drivers of the Community Matron Service:

• Reduce hospital admissions
• Manage people at home
• Support carers and family
• MDT working and collaboration
• Advanced care planning
• Tackling social isolation

New email and contact details

Service Contact Information:

We have established a dedicated contact point for general queries:

• Phone: 020 8102 5102
• Email: clcht.westminstercommunitymatronsteam@nhs.net