Westminster Community Matrons Service

Who is a community matron:

• An experienced senior nurse who has a background in community nursing (for example district nursing, practice nurse or advanced nurse practitioner).
• Lynchpin in someone’s care

What is our role:

• Case manage patients with complex needs who require care coordination. 
• Crisis Management
• Manage patients with long term conditions e.g. COPD, Diabetes, Heart Failure, Neurological Conditions, Dementia and Frailty.
• Preventing unnecessary hospital admissions by managing the patients better in the own home.
• Promoting independence - being proactive as opposed to reactive.
• Supporting the family and formal and informal carers.
• Working closely with other services to ensure best outcomes for patients and reduce duplication.
• Social services, secondary care, specialist services, memory services, mental health services.
• Provide signposting to other services and social prescribing.

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