HMR - Integrated Community Services

Integrated Neighbourhood Teams consist of multi professionals housed together to support a joined up approach to the delivery of health and social care. There are 6 core neighbourhood  teams across the Rochdale borough which consist of district nurses; community matrons, community nurses, therapists, general practices, social care and 3rd sector services, offering both home visits for the housebound and treatment room appointments.

The service operates a 24/7 Single Point of Access and nursing support both day and night.  Integrated neighbourhood teams also offer a borough wide provision of services which includes;

  • Bladder & Bowel Specialist service;
  • Tissue Viability Service;
  • Community Neuro-Rehabilitation;
  • Early Support Stroke Discharge;
  • Speech & Language;
  • Amputee;
  • Centralized Falls; 
  • Enhanced Respiratory
  • Self-Management Service.

HMR District Nursing

Who is the service for?   

Patients over the age of 18 who are registered with a Heywood Middleton and Rochdale GP. The district nursing service provides generic nursing in patients own home, and treatment room appointments. The service is a key  part of the Integrated Neighbourhood Teams

What does the service provide?

Nursing patients in their own home environment, there is also a treatment room service for patients registered with a HMR GP. We provide skilled nursing care at home and in residential care homes, 24 hours a day/365 days a year for patients and families. Treatment room services are available 6 days a week, and evenings Monday- Friday. The district nursing team offer a range of  clinical interventions for people aged 18 and over and works in partnership with specialist nursing teams, GPs and multi-agency teams to coordinate care as required. Community matrons provide support for people with Long Term Conditions and/or complex health and care  needs

Where is the service based?

Heywood Integrated Neighbourhood Team:  Phoenix Centre

Single Point of Access  : 0161 763 8525 (24/7 calls answered)

GP practices covered:

  • Argyle street Medical Practice
  • Birtleview Medical Practice
  • Heady Hill Surgery
  • Hopwood Medical Centre
  • Longford street Practice
  • York House Surgery

Team lead: Sr Joanne Clarke  –  District Nurse Specialist Practitioner

Service Contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Middleton Integrated Neighbourhood Team - Storage World

Single Point of Access : 0161 763 8525 (24/7 calls answered)

GP practices covered:

  • Bowness Surgery
  • Dr Stockton & Thomason Surgery
  • The Junction Surgery
  • Alkrington Health Centre
  • Middleton Health Centre
  • Peterloo Medical Centre
  • Rochdale Road Medical Centre
  • The Windermere Road Surgery
  • Woodside Medical Centre

Team lead: Sr Alison Eckersley  –  District Nurse Specialist Practitioner

Service contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Rochdale East Integrated Neighbourhood Team  - Smallbridge Clinic

Single Point of Access : 0161 763 8525 (24/7 calls answered)

GP practices covered:

  • Healey Surgery
  • Yorkshire Street Surgery
  • Inspire Medical Centre
  • Dr Barber Surgery
  • Mark Street Surgery
  • Whitworth Medical Centre

Team lead: Sr Carol Pilling  –  District Nurse Specialist Practitioner

Service contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Pennines Integrated Neighbourhood Team   - Littleborough Health Centre

Single Point of Access : 0161 763 8525 (24/7 calls answered)

GP practices covered:

  • Littleborough Group Practice
  • Milnrow Village Practice
  • Pennine Surgery
  • Stonefield Street Medical Practice
  • Trinity Medical Practice
  • Village Medical Practice

Team lead: Sr Pippa Frain  –  District Nurse Specialist Practitioner/Community Matron

Service contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Rochdale Central Integrated Neighbourhood Team   - Nye Bevan House

Single Point of Access : 0161 763 8525 (24/7 calls answered)

GP practices covered:

  • Castleton Medical Practice
  • Kirkolt Medical Practice
  • The Strand
  • Wellfield Surgery
  • The Kingsway Medical Practice

Team lead: Sr Nicola Matthews  –  District Nurse Specialist Practitioner

Service contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Rochdale West Integrated Neighbourhood Team   - Rochdale Football Club

Single Point of Access : 0161 763 8525 (24/7 calls answered)

GP practices covered:

•       Ashworth Street Surgery                   

•       Edenfield Road Surgery

•       The Dale Medical Practice (Dr Syed)

•       The Dawes Family Practice

•       Dr Bhimas

•       Dr Ghafoors

•       Dr Hamid

Team lead: Sr Sara Nash –  District Nurse Specialist Practitioner

Service contact via  Single Point of Access : 0161 763 8525 (24/7 calls answered)


Out of Hours Nursing service

The HMR Out of Hours Nursing service work from 17.00 – 08.00 seven evenings/nights per week based at Rochdale Infirmary. They cover the whole of the Rochdale Borough area for all the GP’s listed above. The team can be contacted via the Single Point of access number : 0161 763 8525 (24/7 calls answered)

Team lead: Sr Jo Thompson  – District Nurse Specialist Practitioner

Service contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Bladder and Bowel Specialist Service

Who is the service for?   

Patients over the age of 18, suffering with Bladder and/or bowel difficulties, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

The bladder and bowel service will provide advice; treatment and care to patients who suffer with urinary incontinence, prostate problems; faecal incontinence and pre and post operative stoma care. 

The continence prescription service if for patients who obtain medical devices such catheters and stoma products on prescription.  Advice and help is available. 

Where is the service based?

Patients are seen within community clinic, or the patient’s home as need requires. The service also provides Clinic based support  which are held at Smallbridge Clinic (Tuesday PM and Friday AM)  Croft Shifa Health Centre (Tuesday and Wednesday all day)

Team lead: Sr Abbie Kershaw – Bladder and Bowel Clinical Nurse Specialist

Service Contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Tissue Viability Service

Who is the service for?   

Patients over the age of 18, needing Tissue Viability and or Lymphoedema (non cancer related) support, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

Treatment of complex, acute and chronic wounds, leg ulcers, vascular assessment and maggot therapy. Support and management for moderate and severe (non cancer ) Lymphoedema

What does the service provide?

Assessment, diagnosis and  treatment of complex, active and chronic wounds, offering advice and support for healthcare professionals and domiciliary and clinic based appointments.

Where is the service based?

Patients are seen within community clinic, or the patient’s home as need requires. The service also provides Complex  Leg Ulcer Clinics  at The Croft Shifa health Centre (Wednesdays pm ) and Langley Clinic (Tuesdays pm); Complex wound care clinics Smallbridge Clinic (Wednesday am) and Lymphoedema Clinic ( Non Cancer) at Alkrington Health Centre (Tuesday) and Smallbridge clinic (Thursday)

Team lead: Sr Joanne Taylor -  Tissue Viability Clinical Nurse Specialist

Service contact via Single Point of Access : 0161 763 8525 (24/7 calls answered)


Adult Speech and Language Therapy

Who is the service for?   

Patients over the age of 18, requiring support with communication or swallowing difficulties, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

The Adult Speech and  Language Therapy Service, provides expert advice and interventions for those patients with swallowing and communication disorders.

A professional team , working collaboratively with all other disciplines to ensure safe recommendations and hospital avoidance.

Where is the service based?

Patients are seen within community clinic, or the patient’s home as need requires. The service also provides clinic functions from the Phoenix Centre, Langley Clinic, and Nye Bevan House.

Team Lead: Kath Cutts


Enhanced Respiratory Service

Who is the service for?   

Patients over the age of 18, suffering with respiratory conditions, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

The service provides supported self-management via pulmonary rehabilitation, out-patient clinics and domiciliary visits for patients with chronic respiratory diseases and also responding to flare ups of conditions to ensure deflection from community and supported discharge from Pennine sites.

This is an enhanced service consisting of therapists, nurses, pharmacy and support workers and working closely with the matrons within the integrated neighborhood teams.

Where is the service provided?

Patients are seen within community clinics, or the patient’s home as need requires.

Pulmonary Rehabilitation is delivered out of Rochdale Infirmary and other community venues.

Team Lead: Michelle Hollick -  Specialist Physiotherapist

Service Contact : 01706 517771


Heart Failure Specialist Nurse

Who is the service for?   

Patients over the age of 18, suffering with heart failure, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

The specialist heart failure service is involved with the care of patients with heart failure in a community setting from the time of diagnosis.

The service assesses and monitors individuals to ensure appropriate medications and treatments are commenced. And also considers the need for more complex interventions e.g. specialist procedures or devices.

The service aims to improve service user’s knowledge and ability to self-manage their condition; this is done in a supportive way using information and advice about their condition and treatments.

The service works closely with other agencies and specialists to provide high quality care e.g. the cardiac rehabilitation team, practice nurses, pharmacists, GPs, community matrons, the local hospice and specialist palliative care nurses.

Where is the service provided?

Patients are seen within community clinic, or the patient’s home as need requires. The service also provides clinic functions from Callaghan House, Phoenix Centre, Langley Clinic, Littleborough Health Centre and Nye Bevan House.

Team Lead: Marie Kissack – Specialist Heart Failure Nurse

Service contact: 01706 517771


Amputee Service

Who is the service for?   

The HMR Amputee Service is for patients having recently undergone a lower limb amputation and are considering prosthetic rehabilitation.

What does the service provide?

The HMR Amputee Service provides pre and post-prosthetic rehabilitation for adults with lower limb amputation in close association with the multi-disciplinary team at the Specialised Ability Centre Manchester (SACM).

Where is the service provided?

The outpatient HMR Amputee Service is based at the Royal Oldham Hospital (ROH) where consultant and prosthetist clinics are also available. Once patients have progressed to an agreed level of mobility and independence they will be transferred to the HMR Community Amputee Service is located at the Community Hub, Rochdale Infirmary. This allows patients to be treated at home or in their community environment.

Team Lead: Sharon Wright– Specialist Physiotherapist

Service contact: 01706 517775


Falls Prevention / Community Physiotherapy

Who is the service for?   

Patients over the age of 18, requiring community physiotherapy and / or falls prevention interventions, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

The Falls Prevention / Community Physiotherapy service works integrally with the Integrated neighborhood  teams,  providing falls prevention and community physiotherapy.

The service has Physiotherapists, Falls Prevention nurse and therapy assistants; the team provide assessment and treatment to enable a reduction in the risk of falling.

Environmental visits; provision of equipment and walking aids is also within their remit.

Where is the service provided?

Patients are seen within their home or clinics when appropriate.

Team Lead: Matthew Nugent  – Specialist Physiotherapist

Service contact : 01706 517775


Early Supported Discharge for Stroke

Who is the service for?   

The Stroke early supported discharge service (ESD) provide rehabilitation for adults and the elderly who have suffered mild to moderate strokes in their first 6-8 weeks from hospital discharge. We aim to contact patients within 24 hours of their discharge from hospital and see them within 72 hours for assessment and treatment

What does the service provide?

The Stroke ESD team work closely with the hospital to identify those patients who are likely to benefit from early rehabilitation at home. The team focuses on patient centred care and will set individual goals based on the patients’ needs and wishes. This may include support with physical or cognitive symptoms, speech and swallowing, personal care, meal preparation, and returning to hobbies or employment. 

Stroke ESD are an interdisciplinary team consisting of stroke specialist Physiotherapists, Occupational Therapists, and Speech and language therapy; a stroke specialist nurse, and rehabilitation support workers.

The therapy team work intensively during the 6 – 8 week period with patients to help them achieve their goals and can refer on to other services such as the neurological rehabilitation team if further rehabilitation is required beyond this point.

The rehabilitation support workers having competencies in all disciplines and can work on a range of problems within sessions. Home exercise programmes may also be provided for patients to work on themselves.

All Stroke survivors are entitled to a review 6 months after their stroke. The stroke ESD staff complete this comprehensive review with all strokes regardless of severity which focuses on stroke specific problems and will action or refer on anything that is identified as a concern by the patient. 

The team work closely with other agencies such as the Stroke Association, GPs and social services to ensure the patient gets the best care possible.

Where is the service provided?

Patients are seen within community clinic, but more so in the patient’s home.

Team Lead Carolyn.Shimwell – Specialist Occupational Therapist

Service contact: 01706 517772


Self-Management Service

Who is the service for?   

Patients over the age of 18, suffering with or caring for someone with a long term condition, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

Expert Patients Programme | Self-Management Service

A team of non-clinical staff, tutors, national trainers and volunteers who provide a portfolio of accredited 6 week self- management programme(s) to adults living with long term conditions/illness, disability and carers whose own health is affected by their caring situation.

The programmes increase confidence and activation, supporting and enabling both patient and carer to take ownership of their condition/situation and form a better partnership with their health care professionals in all aspects of the day to day management of their condition or caring situation.

Where is the service provided?

The service is delivered from a variety of venues across the borough e.g. community centres; libraries etc

Team Lead: Julie Dawson – Service Lead Community Neuro Rehabilitation Team

Who is the service for?   

Patients over the age of 18, suffering with a neurological diagnosis, who are registered with a Heywood Middleton and Rochdale GP.

What does the service provide?

The Community Neurological Rehabilitation Team (CNRT) will deliver specialist neurological rehabilitation to patients with a neurological diagnosis that have a need for neuro-rehabilitation intervention. Specialist input from the CNRT interdisciplinary team will ensure that a patient makes the appropriate route towards recovery with co-ordinated and cohesive care, and a person centred approach. The interdisciplinary team consists of physiotherapists, occupational therapists, a speech and language therapist, specialist social worker, and therapy assistants.

Where is the service provided?

Patients are seen within community clinic, or the patient’s home as need requires. The service also provides clinic functions from Callaghan House and Nye Bevan House.

Team lead: Sue Gill, Social worker

Service Contact:  01706 517774


HMR Treatment Room service

HMR Treatment room appointments are available Monday – Saturday at a number of community locations. For non-house bound patients able to attend a treatment room, appointments can be made by our single Point of access  0161 763 8525 (24/7 calls answered)

Treatment room services include wound care, dressing changes, suture and clip removal, ear care, injections and self-management advice.

Clinic address

Clinic times

Castleton Treatment Room

2 Elizabeth Street

Rochdale

OL11 3HY

Mon, Thurs - 8.45am - 12.45pm

Tues, Wed, Fri – 8.45am - 12.30pm

Croft Shifa Treatment Room

Belfield Road

Rochdale

OL16 2UP

Mon, Wed – 8.45am – 12.30pm

Tues, Thurs – 8.45am – 2.15pm

 

Edenfield Road Surgery

Cutgate Precinct

Edenfield Road

Rochdale

OL11 5AQ

Mon – 8.45am – 1.30pm

Wed – 8.45am – 12.45pm

Fri – 8.45am – 12.15pm

Nye Bevan House

Maclure Road

Rochdale

OL16 1DN

Mon, Tues, Thurs – 9.15am – 12.45pm

2.00pm – 4.45pm

Wed, Fri – 9.15am – 12.45pm

Rochdale Infirmary

Suite 1

Whitehall Street

Rochdale

OL12 0NB

Mon – Fri – 6:00pm-8:00pm

Smallbridge Clinic

Stevenson Square

Smallbridge

Rochdale

OL12 9SA.

Mon- Fri – 8.45am-12.45pm 2.00pm-4.45pm

Littleborough Health Centre

Featherstall Road

Littleborough

OL15 8HF

Mon – 8.45am – 12.30pm

Tues, Fri  – 8.45am – 1.00pm

Wed, Thurs – 8.45am – 12.45pm

 

Milnrow Health Centre

6 Stonefield Street

Milnrow

Rochdale

OL16 4HZ

 

Mon-Fri – 2.15pm – 4.45pm

Phoenix Centre

Church Street

Heywood

OL10 1LR

Mon-Fri – 8.45am – 12.45pm

2.00pm – 4.45pm

Alkrington Health Centre

Hardfield Road

Alkrington

M24 1PQ

Mon, Wed, Thurs, Fri – 8.30am – 12.45pm

2.00pm – 5.00pm

Durnford Street Clinic

Durnford Street

Middleton

Manchester

M24 5UD

Mon-Fri – 8.45am – 12.45pm

Tues – 2.20pm – 4.40pm

Mon, Wed, Fri – 2.00pm – 4.45pm

Langley Clinic

Borrowdale Road

Middleton

Manchester

M24 5QG

Mon-Fri – 8.45am – 12.30pm

Fri – 1.30pm – 4.15pm

Thurs – 2.00pm – 4.40pm