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Community Midwives

The midwifery services are supplied by Western Hospitals NHS Trust; the practice has a midwife allocated to the surgery who sees patients here and at home.

Community Nurses

As part of the Primary Health Care Trust, the Community Nurses work in partnership with patients, their families, carers and other health care services.  The Community Nurses are not employed by the practice.

For those patients who are housebound, our service offers skilled nursing care, advice and support.

This care includes:

  • Full Nursing Assessment

  • Care and support for those with terminal illness

  • Wound care

  • Continence issues

  • Bowel Care

  • Issues relating to prescribed medication

  • Advice on health promotion

  • Referral to and liaison with other relevant agencies

  • There are two teams, one covering Middleton and the other covering Yapton and Barnham

Health Visitors

A health visitor is a registered nurse who has received training particularly related to babies, children and pregnant women. Their role is to provide families with children under five years old with support and advice around the general aspects of mental, physical and social wellbeing.


Brief counselling usually of 1-hour duration, of up to 12 sessions, for patients of the practice, referred to her by the clinical team. She works from both surgeries, seeing patients at Yew Tree Surgery on Tuesday afternoons and Wednesday and Thursday at Middleton.

Counselling can be useful in a whole range of contexts: painful life events, especially losses, happen to everyone, but can sometimes stretch coping abilities to the limit. Relationships at home or at work can be a major source of stress. Low mood, depression or anxiety states can exacerbate the strain of life events, or be serious problems in themselves. In these cases and many others, counselling can provide a setting in which to explore the problem, to understand one's feelings and motives better, and to make significant changes in behaviour or perspective.

Once a referral has been made by the doctor, the counsellor will offer an initial one hour assessment session followed by up to 12 weekly sessions of one hour. After this, patients will often be given the opportunity to make occasional review appointments to ensure that they are maintaining progress. From time to time, counselling may lead to a referral for further sessions at the hospital or a specialist unit, if this is necessary and appropriate.

Patients who have used the counselling service have greatly appreciated the opportunity it provides to discuss their problems in greater depth than can be accommodated within the surgery appointment time; the great majority express satisfaction with the outcome and are sometimes surprised at just how much can be accomplished through "the talking treatment".

Attached Staff

Community Psychiatric Nurses

Sussex Partnership NHS Trust is the Mental Health provider that employs community psychiatric nurses. Mrs Val Jones, Community Psychiatry Nurse Practioner CPN works from the surgery. There is no surgery based service for younger people or the elderly. 

Palliative Care

The Gold Standards Framework (GSF) is a practice-based system to improve the organisation and quality of palliative care services for patients who are at home in their last year of life.

  • Communication

  • Co-ordination

  • Control of symptoms

  • Continuity out-of-hours

  • Continued learning

  • Carer support

  • Care in the dying phase

  • The practice is enrolled in the GSF programme.

The practice regularly meets with a Specialist Nurse from St Wilfrids Hospice and the Community Nursing Team.

  • GP Lead: Dr Mark Sidney

  • Practice GSF Co-ordinator: Mrs Allie Neale

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