Health Support Team

The Tame Valley Practices have identified areas across the PCN area where additional support is required for patients. We have developed a team of Health Coaches specialising in different areas including:

  • Frailty Health Coaches
  • Employment Support
  • Cancer Health Team
  • Mental Health Support
  • Pain Management and Addiction 

Scroll down to find out more about the role our Health Coaches.

Frailty Health Coaches

Care Home Frailty Health Coach

  • Liaises and communicates with each care home linked with Tame Valley Practices
  • Develops personal management plans for patients and uses decision making tools for their care
  • Liaises between the home and GP Practice to co-ordinate weekly ward round lists, urgent visit requests, and medication requests outside of the ward round times
  • Works with Multi-Disciplinary Team (MDT) members to organise direct referrals to their services where beneficial to the patient
  • Co-ordinates Stockport Pharmacist (SIPS) team/medicines optimisation in Care Homes and co-ordinates Structured Medication Reviews (SMR) to be carried out for patients.
  • Assists with validation of and communication with people registered under a lasting power of attorney

Staff Member:

Eleanor McCabe - Covers Brinnington Surgery, Heaton Norris Medical Centre, Alvanley Family Practice, Bredbury Medical Centre and Woodley Village Surgery.

Frailty and End of Life Health Coach 

  • Liaises between patients, carers and GPs.
  • Develops personal management plans and uses decision-making tools for their care.
  • Reviews frailty registers, identifying patients that should be on the end-of-life pathway to ensure they are receiving the care they need. 
  • Assists with validation of and communication with people registered under a lasting power of attorney.
  • Arranges, chairs, and minutes Gold Standard Framework (GSF) meetings. These are multi-disciplinary team meetings for healthcare professionals involved with individuals who require specialist care towards end of life. 

Staff Member:

Cheryl Wilson - Covers all practices.

Frailty and Dementia Health Coach 

  • Liaises between patients, carers and GPs.
  • Carries out Dementia reviews and develops personal management plans for patients.
  • Carries out Dementia assessments for high-risk patients
  • Assists with validation of and communication with people registered under a lasting power of attorney.

Staff Members:

Louise Breen - Covers all practices

Employment Support Health Coach

  • Reviews patients requesting fit note extensions
  • Makes referrals to appropriate services to assist patients to return to work
  • Supports patients with CV writing and interview technique training

Staff members:

Feisal Butt - Covers Park View Group Practice, Bredbury Medical Centre, Alvanley Family Practice, Brinnington Surgery

Ed Finn- Covers Heaton Norris Medical Centre, The Reddish Family Practice, Vernon Park Surgery and Woodley Village Surgery

Cancer Health Coach

  • Works with the practice GPs to support patients who have been diagnosed with cancer. (Recent or in the past)
  • Completes Cancer Care Reviews to support patients health and signposts to other services available. 
  • Works towards Cancer screening uptake improvements across the practices

Staff members:

TBC (Lead Coach) – Covers Park View Group Practice, Brinnington Surgery, Heaton Norris Medical Centre

Diane Axford (Cancer Care Co-Ordinator) – Alvanley, Bredbury, Vernon Park, The Reddish Family Practice

PCN Cancer Lead : Dr Karen McEwan (Park View Group Practice) 

Pain Management and Addiction Health Coach

  • Supports patients on medication reduction plans
  • Carries out joint Structured Medication Review (SMR) clinics with Practice pharmacists
  • Improves patients’ knowledge, confidence and skills
  • Empowers patients to improve their health outcomes and sense of wellbeing
  • Prevents unnecessary reliance on clinical services
  • Provides interventions such as self-management education and peer support
  • Supports people to establish and attain goals

Staff member:

Jean Smith – Covers all practices.