
At Severn Health PCN our Living Well Team is dedicated to providing compassionate care that enables our patients to live their best lives. We work across the practices offering support tailored to individual needs, ensuring both patients and their families receive the right care at the right time.
Who We Are
Our multidisciplinary team consists of experienced healthcare professionals who work together to provide seamless care and guidance:
- General Practitioner – Oversees patient care, providing clinical expertise and medical support.
- Experienced Frailty Nurses – Offer clinical care, health education, and support for managing long-term conditions.
- Social Prescribing Link Workers – Help patients access community resources, reducing loneliness, improving mental well-being, and enhancing overall quality of life.
- Care Coordinators – Ensure smooth communication between healthcare services, supporting both patients and their families in navigating the care system.
What We Do

Our Living Well Team provides a wide range of services, including:
- Personalised Care Planning – Working with patients and families to develop care plans that meet specific health and well-being goals.
- Supporting Independence – Helping individuals maintain their ability to manage daily activities while planning ahead for their future needs.
- Social Support & Well-Being – Connecting individuals with community-based activities and services that promote mental and emotional well-being.
- Family & Carer Support – Assisting families and caregivers in understanding and managing their loved one’s care needs.
- Coordinated Healthcare Navigation – Ensuring patients have access to the right services, whether it’s specialist care, rehabilitation, or additional social support.
What Happens During a Home Visit?
During a visit our Nurse will visit discuss how you are managing your healthcare and wellbeing. They will complete a comprehensive assessment, which may include memory screening, medication reviews, and a physical examination.
We encourage discussions around healthcare choices, including how individuals want to manage episodes of illness and changes in their health over time. This can include conversations about preferred treatments, medical interventions, and personal goals for
well-being and comfort.
Planning for the Future
As we grow older or experience health challenges, managing everyday activities can become more difficult. Some individuals may have multiple medical conditions or require additional support to maintain their quality of life. Our team helps people take control of their health by working with them to create plans for their future care, ensuring their wishes are respected.
We will ask, “What is important to you?” and tailor our support accordingly. Our team will also discuss personal healthcare choices and future planning to ensure individuals remain in control of their care decisions.
Group & Education Activities
We believe that knowledge and shared experiences can empower individuals to take control of their health. Our Living Well Team offers a variety of group and education activities, including:
- Health and Well-Being Workshops – Covering topics such as nutrition, exercise, stress management, and managing chronic conditions.
- Peer Support Groups – Providing a space for individuals to connect, share experiences, and support one another.
- Carer Education Sessions – Helping family members and caregivers understand how to best support their loved ones.
- Community Activities – Encouraging social interaction and engagement through group events and activities.
These sessions are designed to provide practical advice, emotional support, and a sense of community, ensuring that individuals feel empowered in their healthcare journey.

Collaboration & Information Sharing
Our team works closely with Volunteer and Community groups, hospitals, GPs, and other health & social care teams. We may share information from our assessments with these teams, but only with your consent and where necessary to provide the best support to you and your family or carers.
Living Well Resources
Exercise

Stroud District Council
Choose2Move
These are light to moderate physical activity classes designed for people who are looking to increase their physical activity levels.
Support Services

Age UK Gloucestershire is working in the community to support older people, their families and carers.

Citizens Advice can provide information and advice to carers, and those they care for, on their benefit entitlement, their right to financial support

Gloucestershire Carers Hub provide a number of services for Carers which are all free of charge.

Asthma + Lung UK believe that every breath matters – and that the right to breathe freely applies to everybody, regardless of income, age, ethnicity, gender, or background.

Dementia UK are the specialist dementia nursing charity that is here for the whole family. Their nurses, known as Admiral Nurses, provide free, life-changing support and advice to anyone affected by dementia.
Where we provide links to websites of other organisations, our privacy notice does not cover how that organisation processes personal information. We encourage you to read the privacy notices on the other websites you visit.
Download the list of Gloucestershire Support Services
If you would like to refer yourself, please follow the link below to contact the team via email.



