Adult Frailty Service

Frailty Care Coordinator Team

We are the frailty care coordinator team, employed by Strawberry Health Primary Care Network providing a new service to patients within Vine Medical Group and Homewell Practice. Between us, we have over 30 years of experience working within nonclinical roles supporting the care of patients. Our team work closely with the clinical staff within the practices to seek advice and guidance on different aspects of your care where necessary. Supporting you to stay healthly and independent for longer.

We are a motivated, committed, and positive team, with a caring and passionate attitude towards our patients.

What is frailty?
If someone is living with frailty, it doesn’t mean they lack capacity or are incapable of living a full and independent life. When used properly, it describes someone's overall resilience and how this relates to their chance to recover quickly following health problems. It can affect people of all ages, often those with long term conditions.

What is a Frailty Care Coordinator?
Our Frailty care coordinator team holistically support patients living with frailty within the community. We work closely with our patients to help support and manage their health and wellbeing to continue to help our patients live independently in their own homes for as long as possible. Our role is to be a point of contact for both patients and their families and carers, whilst working alongside other health, social care and voluntary agencies.

How can a Frailty Care Coordinator help me?
We as Frailty Care Coordinators will be a single point of contact for you and your families/carers. Some of the support you can expect from our team includes:

  • Reviewing your needs and help you access the services and the support you require to understand and manage your own health and well being
  • Refer you to services within the area that are most appropriate for you
  • To assist in the formulation and review of care plans to ensure all care is reflecting your needs and wishes, future treatment, next of kin etc.
If you are eligible for this service, over the coming months you may be contacted by one of our team, where we will arrange an appointment to talk with you or your family/carer either by telephone or in your home (We are unable at this time to take self-referrals to the service). We may feel that one appointment is sufficient, however if you have more longstanding issues, we will support you whilst the issues are resolved.


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Consider the range of services available to you and use the NHS responsibly.

Be prepared to care for yourself with a well-stocked medicine cabinet and plenty of rest.

  • cough or cold
  • upset stomach
  • pain or headache
  • cuts and grazes
  • sore throat (but if for two weeks or more contact your GP)

For health advice, visit nhs.uk.

Your local Pharmacist is a trained medicine expert who can dispense and advise you on the safe use of prescription, repeat prescription and over-the-counter medicines. Most pharmacies are open until late and at weekends, and they all have a private area where you can talk to a Pharmacist in confidence. You don’t need to book an appointment to see a Pharmacist.

  • Ask for advice on ailments, medicines and healthier living
  • Queries about medication, dosage, type or suitability plus urgent requests or if related to hospital discharge
  • repeat prescription
  • sore eyes (but if persists go to optician)
  • runny nose
  • diarrhoea
  • bite or sting

GPs deal with a whole range of health problems including:

  • Conditions that can't be treated with over the counter medication or advice from a Pharmacist
  • Coughs lasting more than three weeks
  • New moles appearing or existing moles changing shape, size or colour

They also provide health education, offer advice on smoking and diet, run clinics, give vaccinations and carry out simple surgical operations. A range of health care professionals work at GP practices, including GPs, nurses, healthcare assistants, practice managers, receptionists and other staff. Practices also work closely with health visitors, midwives, mental health services and social care services. If the health professional you see cannot deal with a problem, then you’ll usually be referred to a hospital for tests, treatment, or to see a consultant with specialist knowledge.

NHS 111 is there for you when you have a healthcare need that is not life threatening. It is available 24 hours a day, 365 days a year.

  • If you think you need to go to hospital
  • If you don’t know the most suitable place to go or call
  • If you don’t have a GP to call or if your GP practice is closed
  • If you need advice or reassurance about what to do

Available 24 hours a day, every day. Click here for NHS 111 online.

If you have a non-life-threatening illness or injury, there are lots of ways you can access advice and care without going to an Emergency Department. This allows emergency staff to concentrate on people with serious, life-threatening conditions and will save you a potentially long wait. Visit for same day, urgent, minor injuries or illness when your GP practice is unavailable, such as such as sprains and suspected broken bones

  • fractures and lacerations
  • insect and animal bites
  • stitches (sutures)
  • dressing care
  • minor cuts and bruises
  • minor burns and strains

Emergency department or call 999. Only for very serious or life-threatening situations. If you are unsure, call NHS 111.

Click here to find out when to call 999.