PROACTIVE CARE TEAM

Supporting you to stay well at home

Do you ever feel unsure about who to contact when your health changes?
Would you benefit from a bit more support to help you stay well and independent?

If so, the Proactive Care Team may be able to help.

What is the Proactive Care Team?

The Proactive Care Team is a group of healthcare professionals working closely with your GP practice to provide planned, personalised care in your own home.

Your GP practice is part of a programme designed to offer extra support to patients who may benefit from more regular health and wellbeing reviews. Patients are identified using practice information and may be invited for a home visit.

Our aim is simple: - 

  • To help you stay as well and independent as possible.
  • To identify any health or support needs early.
  • To make it easier for you to access the help you need.

You will have a named nurse who will support you and help coordinate your care over time.

What happens during a home visit?

During your visit, a nurse from the Proactive Care Team will spend time getting to know you and understanding your needs.

This may include: - 

  • Talking about how you’ve been feeling and any concerns you have.
  • Checking your blood pressure, pulse, and general observations.
  • Carrying out blood tests if needed.
  • Reviewing any long-term conditions (such as diabetes, heart or lung conditions).
  • Checking whether any vaccinations are due.
  • Discussing any support you may need at home.
  • Talking through your care and planning ahead, if appropriate.

The visit is also your opportunity to talk openly about anything affecting your health, wellbeing, or daily life.

What happens next?

Following your visit: - 

  • Your medications may be reviewed by a GP or pharmacist.
  • Any referrals or additional support discussed will be arranged.
  • A personalised care plan may be developed with you.
  • You will remain on the Proactive Care caseload, so we can continue to support you when needed.

Why have I been invited?

Your GP practice uses secure health information to identify patients who may benefit from additional support.

This allows us to: - 

  • Offer help earlier.
  • Put the right support in place.
  • Reduce the need for urgent or unplanned care.

Do I have to take part?

No - taking part is completely optional.

However, many patients find these visits helpful, as they provide time to review their health and support needs in the comfort of their own home.

How to access the service

If you feel this service may benefit you, or someone you care for, please speak to your GP practice.

Service Leaflet

Alternatively, you may be contacted directly by the Proactive Care Team if you are identified as someone who could benefit from additional support.

Contact details

πŸ“ž 01962 674301
πŸ“§ midhantshc.proactivecareservice@nhs.net
🌐 www.midhampshirehealthcare.co.uk

Accessible Communication for Everyone

We are committed to making our services accessible to all.

We support UK Relay, enabling Deaf, hard-of-hearing, or speech-impaired individuals to contact us using a textphone, the Relay UK app, or a relay assistant.

If you require information in another language or need translation or interpretation services (including British Sign Language), please contact us at midhantshc.mhh.enquiries@nhs.net and we will be happy to help.

Service Management

This service is managed by Dawn Pickard.
For any queries, please email: Dawn.Pickard@nhs.net 

Feedback

We welcome your feedback. Please take part in our Friends and Family Test.

Please participate in our Friends and Family Test

***Last Updated 07/04/2026

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