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There will be local neighbourhood teams across the two counties. Teams are in different stages of development but Community Nurses, Enhanced Care Teams, Promoting Independence, Community Therapists and other closely aligned services will join together to work in a much more collaborative way with social care and GP colleagues. The teams will wrap around their identified cohort of patients who are vulnerable or at greater risk of hospital admission. By providing more proactive and responsive support the aim is the reduce reliance of beds, and keep people well at home for longer.





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