Contact details
Mosborough
Charnock
Darnall
Manor
Telephone 0114 3054280
Fax 0114 271 6424
Gleadless
Greenhill
Rivelin
Sheaf
Telephone 0114 3054281
Fax 0114 2264996
Hillsborough
Upper Don
Burncross
Shiregreen & Ecclesfield
Parson Cross
Telephone 0114 3051950
Fax 0114 271 6293 / 271 6333
Service lead
Janine Thornton
Community Services General Manager
Long Term Conditions Clinical Business Unit
Pro-active Case management of long term conditions at level 2
Patient assessment can take place in:
• Patients home
• Residential Care
• Specialist residential care
• Acute setting
Patient referral Criteria • Have had 2 or more unplanned admissions to hospital within the past 12 months
• Long term conditions severely restrict access to health care
• 18 years and over
• Are at risk of readmission to hospital
• Requires education re self management of LTC
Long Term Condition (examples)
• COPD
• DIABETES
• HEART FAILURE
• CVD
• MULTIPLE SCLEROSIS
• MOTOR NEURONE DISEASE
• PARKINSONS DISEASE
• ARTHRITIS (MOD/SEVERE)
Please note that the criteria, is flexible.
Referrals Referrals into the service are via Single Point of Access (SPA)
