Integrated Plus supports people of any age who frequently visit their GP and who are at high risk of hospital admission. The aim of the service is to look at the whole needs of a person, regardless of what those needs might be and jointly find solutions to problems faced and identify opportunities for people to become more involved and active in their community. We help to ensure people are accessing services and activities appropriate to their needs.
The Locality Link Officer roles are new and were created specifically to complement Dudley’s New Models of Care. Locality Link Officers attend the 46 multi-disciplinary team meetings in their locality (held at GP practices) to ensure the non-medical needs of people are being met.
The Locality Link Officers undertake social prescribing roles, are service navigators and brokers. The roles are not about just brokering people into services, the support is much more tailored and in-depth when people are in crisis, are waiting to access services and who have an urgent need.
Integrated Plus aims to help people:
- Improve their well-being
- Become more active and involved in their own communities thus reducing isolation and increasing self-esteem and confidence
- Access support that they need to help improve their quality of life
- Make a difference to their community eg through volunteering and becoming active citizens etc.
- Reduce pressure on medical practices by supporting people to become less reliant on medical services
Integrated Plus is being delivered by Dudley CVS and is funded by Dudley Clinical Commissioning Group.