We are a Multidisciplinary team who specialise in supporting patients and their families to manage complex health conditions. We support patients for 3 months, using a patient centred approach to meet individual needs. We aim to improve the overall health and wellbeing of patients within Trafford. Educating patients and their families about long term health condition, encouraging independence and self-care. Reducing the risk of unplanned admissions and crisis interventions where safe to do so.
We aim to improve the overall health and wellbeing of patients within Trafford. Educating patients and their families about long term health condition, encouraging independence and self-care.
Trafford Case Management (TCM) is a non-emergency service which specialises in helping people with the chronic management of long-term conditions. Patients must be 18 years or over and registered with a Trafford GP. TCM work according to the patient’s health goals providing education, promoting self-management and signposting to required services.
We support patients for approximately 3 months, using a patient centred approach to meet individual needs. We aim to improve the overall health and wellbeing of patients within Trafford. Educating patients and their families about long term health condition, encouraging independence and self-care.
Our service is available between the core hours of 8am – 4pm, Monday – Friday (excluding bank holidays).
The dedicated TCM telephone number 0161 549 6250.
If you are calling outside of our service hours for non-emergency advice, please contact NHS 111 or your GP Surgery in the first instance. In case of an emergency please contact 111 or 999 for immediate advice or support.
Referrals are accepted from all health care professionals, including GPs, secondary care and Community Health Services. To refer, complete the referral form below and email it to tspoa1@nhs.net
- Trafford Case Management Team Referral Form (Word doc, 60KB)
Alternatively, if you wish to talk to the team about a patient, please ring 0161 549 6250. If we are not available, please leave a message with your contact number and we will call you back. For general queries to the service email mft.trafford.casemanagement@nhs.net (Please DO NOT send referral forms directly to this email address)
Referral acceptance/inclusion criteria
- At least two long term condition (hypertension, asthma, heart failure, diabetes, COPD, arthritis etc.) plus one of the other categories from below:
- Admitted to hospital as an emergency (due to physical health) twice in the last 12 months
- At risk of admission as an emergency (due to physical health) according to agreed risk levels and using agreed risk tools
- 2 or more A&E attendances (due to physical health) within 6 months
- With complex and problematic polypharmacy, specifically those on 10 or more medications; OR on medicines commonly associated with medication errors
- Medically stable or not in an immediate crisis
- Patients in Residential Homes (not with nursing care needs) with any of the acceptable conditions as mentioned above.
Referral exclusion criteria
Please note we are not a specialist service, and the exclusions are as follows:
- Below 18 years
- End of life (defined as the last few days of life – palliative patients can be accepted)
- Obstetrics
- Acute mental health presentation
- Pregnancy
- Patients in residential home with nursing care needs
- Not registered with Trafford GP
Acutely unwell patients (if urgent same day input needed for acutely unwell patients, contact the Community Crisis Response Team).