The benefits identified by the model could be extended to other long term conditions as part of a health economy programme to reduce admissions/readmissions. It could be extended to be used in a clinic or rehabilitation setting as a reduction of face to face visits,reduced follow - up clinics, education and self empowerment in managing an illness or condition.
Referral came through the I - navigator portal via an email from the referrer - Support is needed around wellbeing. Mr S lives with his wife and was working before being admitted to hospital– he is finding it difficult to accept current situation, he has a responsible job and is struggling to let go of duties
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