My Health, My Care, My Home - healthcare framework for adults living in care homes: easy read

The multidisciplinary team

A multidisciplinary team is a group of healthcare and social care staff with different skills who work together to get the best life for the person living in the care home.

Care home teams must:

• know how to get help from members of the multidisciplinary team without having to check with a GP first
• know how to refer people to get healthcare services

Recommendations – what we want to see happen

• regular multidisciplinary team meetings could happen face to face, online or a mixture of both

Administration and support of the meetings should be done by both the health and social care partnership and the care home.

• people living in care homes should be able to have a family member, welfare guardian or power of attorney with them at multidisciplinary team meetings
• multidisciplinary teams should look for ways to:
  • share what they have learned
  • develop their knowledge, skills and experience
• if possible, each care home should be linked with a named GP practice
• people should be given the choice to register with the GP practice linked to the care home they live in

They should not be made to change GP practice.

• Health Boards should check how organisations get contracts to provide services and change them to make sure they follow the recommendations in this framework
• Health and Social Care Partnerships must make sure people can get the specialist healthcare they need