Professionals

For Professionals

Independent, nurse-led complex case coordination and oversight for individuals with complex health and care needs in Jersey.

Silver Willow supports professionals where care has become complex, fragmented, or difficult to coordinate, and where an individual or family would benefit from independent clinical oversight, risk identification, and a clear point of accountability.

What Silver Willow provides

Independent clinical review - Structured review of the individual’s health, care situation, risks, and current support

Coordination across services - Support to align communication, referrals, providers, and next steps across all services

Risk identification and oversight - Early identification of gaps, concerns, and risks that may otherwise be missed

Support for families and decision-makers - Practical clarity for families managing complex situations, especially where strain, uncertainty or distance is a factor

When a referral may be helpful

Multiple professionals or providers are involved and no single person is holding an overall view

An individual’s condition is deteriorating and risks are increasing

Discharge planning or longer-term care planning is becoming complex

Family members are overwhelmed, conflicted, or living off-island

Communication, continuity, or follow-up across services is unclear

An independent overview would support safer, better coordinated decision-making

This is not general administration. It is independent clinical oversight, coordination, and risk management in complex situations.

All referrals begin with an initial clinical review. From there, support may be provided on an ad hoc or ongoing basis according to the individual’s needs, level of complexity, and agreed scope of involvement.

All clients begin with an immediate needs evaluation as a core service offer

Initial Clinical Review

Core Service

Clinical Assessment and Information A comprehensive assessment of an individual’s health, care, and support needs.

This includes: Review of medical history, conditions and medications (non-prescribing) Functional and cognitive assessment Review of services and support Identification of risks and gaps in care

They or you will receive: A clear written summary (plain language) Practical recommendations A structured plan of next steps

Advice for continued risk management and what to expect and/or recommendations for continued support

Additional Co-ordination Support

Enhanced Service

For increased involvement in more complex situations Structured clinical assessment of the individuals health, care situation, current support, and immediate risks, with clear written recommendations and practical next steps

Based on individual needs and recommendations: Health Co-ordination

Arranging referrals Coordinating providers and medical professionals Co-ordinating discharge plans and transfers of care

Appointment & Communication

Preparing for appointments Structuring communication plans Amending packages

Clinical Review & Monitoring

Review of changes in condition Reviewing medications (non-prescribing)

System & Funding Support

Guidance or completion of applications and representation Sourcing care providers and negotiating packages

An estimate of required hours will be provided prior to service.

Consistent Case Co-Ordination

Complex Service

Ongoing oversight, coordination, and proactive management.

Ongoing oversight, coordination, and proactive review for individuals requiring continued involvement across complex health and care arrangements

Includes: Regular review of health condition, risks and plans Proactive co-ordination of care Priority Contact and agreed response times

Core Package up to 4 hours* (approx.1 hour per week) Monthly updates Priority contact

Enhanced Package up to 8 hours* (approx.2 hours per week) monthly updates priority contact

Complex Package up to 12 hours* (approx.3 hours per week) Monthly updates Priority Contact

*Additional time is charged per hour and agreed ahead of commencement. Service does not provide emergency response, out of hours availability or continuous on call support

Professional Boundaries

Silver Willow works alongside existing professionals and services and does not replace statutory provision, diagnosis, treatment, emergency care, or out-of-hours response. The service is designed to strengthen coordination, continuity, increase understanding and oversight where complexity or fragmentation is creating risk.

To discuss whether Silver Willow may be appropriate in a particular situation, please make contact below.

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