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Each neighbourhood in Bury has a team of professionals that meet weekly to discuss patients that have been referred into Active Case Management.

Our teams consist of numerous health and social care professionals - each patient will be allocated one person as their key worker. Scroll down to find out more about each service involved with our team

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Please scroll down each column to view all available information and click the pictures/posters to expand

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Click the picture above and press play to view a video which showcases the fantastic work our teams carry out across Bury

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This is “INT May 14 edit” by Nick Hulme on Vimeo, the home for high quality videos and the people who love them.

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What to Expect from Active Case Management

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What to Expect from Active Case Management

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1. If a health/social care professional involved in your care feels that you would benefit from input from Active Case Management, they will send a referral into our service

2. Your referral will be triaged at our weekly meetings by our team of health, social and voluntary/community sector professionals

3. If accepted into the service, you will be allocated a keyworker from our team of professionals (a letter will be sent to your home address to confirm this).

4. Your key worker will make contact with you to complete an assessment to discuss your needs in more detail (this may be face to face or via the telephone dependant on your referral needs).

5. If appropriate, onward referrals will be made to services that will help to meet your needs

6. Our team of professionals will continue to work together to ensure that the needs identified in your referral are met - this may include (but is not limited to) social care input, support accessing the community, Physiotherapy/Occupational Therapy input, mental health support, GP/nurse/pharmacist input, housing support

7. Your care will continue to be discussed at our team meetings and ongoing input/contact will be provided by your keyworker as necessary.

8. Once your needs are being managed, you will be discharged from Active Case Management (if you have ongoing input from services we have arranged - this will continue for as long as necessary) - please provide feedback once you receive a text from our service

9. If you have any needs in the future which can be met by our service, a health/social care professional can re-refer you

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Scroll down the page to view events/social activities in your local community and other useful information (click each picture to expand the information)

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GM Bereavement Service 2026 Pop up events

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New Bury Bolton Free Dementia Music Cafe 2026

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Click the picture above to view our service leaflet

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Have you considered Active Case Management for your patient/service user?

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Click the picture above for a more detailed explanation of Active Case Management

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Click the webpage link to find out more about Active Case Management and how we support residents in Bury

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Integrated Neighbourhood Teams Pathway to Active Case Management (ACM)

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The ACM referral form must be completed by a health/social care professional - please ensure all sections are completed and email to: ACMreferral@nca.nhs.uk (professional use only)

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Double click the image above to expand our exclusion criteria

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If you would like to see any other information on this page, please leave us a comment below

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Monday to Friday

8am - 5pm

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Every 4-6 weeks, your local GP is involved within our team meeting (each GP practice is on rotation, this ensures all patient's across the Bury area have the opportunity to be discussed at our meetings.)

Your GP surgery contributes to our meetings, providing vital medical information which can inform your care plan with the team. Once your keyworker has completed their assessment with you, they may have identified areas that need to be communicated back to your GP - this information can be discussed with your GP practice at our meetings (or earlier if required). This reduces duplication for you and ensures that all your needs are being met and communicated with all relevant professionals

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A Neighbourhood Support Officer is present at each of our team meetings. They play a vital role in ensuring that all relevant professionals are invited to the meeting, share and record updates, involve themselves in community activities to share information on our service, complete tasks that are part of your care plan and send you updates on your referral and discharge from the team

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Within our team we have specialist Nurse and Therapy practitioners who ensure that all of your nurse/therapy needs are being managed. They liaise with numerous professionals across health/social care and utilise different electronic records to ensure relevant information is shared within our team meeting - this supports the creation of your care plan and ensures your needs are being met.

One of these practitioners may be your keyworker if your referral needs are predominantly nursing or therapy related - they have the skills to complete a thorough assessment and will make all the necessary onward referrals to different services you may require input from and handover relevant information in our team meetings. This reduces duplication for you and ensures all of your needs are met from one assessment

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The Staying Well team are a short term intervention/prevention service working with people and families over the age of 50 (who are not open to a social worker, reablement or have a care package in place - but can be referred if their involvement ends).

The team aim to help keep people safe and well, out of social care and avoid hospital admissions, ensuring people live their best quality of life. They also link in with other services, make onward referrals and assess for equipment and minor adaptations. You may be given a keyworker from the Staying Well service if your referral needs are best met by the skills their team offers. Click the leaflet above for further info!

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A member of your local District Nursing team attends each of our meetings. If they are already involved in your care, they are able to provide invaluable information to help form your care plan with our team (as they will have already completed an in-depth assessment with you). This may include (but is not limited to) help you may require managing your care needs at home, input from therapy services due to a deterioration in your abilities or a need for equipment/increased support to help manage long term conditions. If your keyworker has identified needs that require input from a District Nurse, this can also be handed over to their team at our meetings

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Social Prescribing support people with things that matter to them - life changing events, long term health conditions, mental health lifestyle support, finances, employment, isolation and loneliness, benefits and cost of living.

They can help you to create a plan to make life easier through one to one appointments and also offer drop in sessions - in a safe and warm space, where people can come along as they choose (without an appointment) to meet the social prescribers, connect with local people, services and organisations on your doorstep.

If the team are unable to find the right support, they can help to set up groups and work with local partners to establish the support you need in your local neighbourhood.

When referred into Active Case Management, your keyworker may be a social prescriber if their skills are best placed to meet your needs

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Achieve Bury is here to help people build a life which is important to them and is free from the problems addiction can bring.

The team at Achieve have years of expertise to help people address the issues they might be having

as a result of alcohol and /or drugs, as well as supporting family and friends who may have also been affected by the situation. Click the leaflet above for further information

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Bury Adult Social Care help people who need practical care and support because of an illness or disability. They can also help those caring for someone with social care needs - this can be many things including help with washing, eating or adapting your home.

There are many types of social care services including home care, day centres, care homes, end of life care and short-term reablement support. You may be allocated a keyworker from Adult Care if their skills best meet your referral needs

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The Mental Health Practitioners are a team of professionals who can provide assessment and intervention to support you with your diagnosis and symptoms. They can support with topics such as managing your emotions, sleep hygiene, building relationships, social inclusion and anxiety management. When referred into Active Case Management, you may be allocated a keyworker from the Mental Health Team if their skills best meet your needs

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What happens when you are discharged/closed to Active Case Management?

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What happens when you are discharged/closed to Active Case Management?

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Once all appropriate actions have been taken to meet the needs highlighted in your referral (i.e. onward referrals are completed, medical/social needs are being managed) you will be closed to Active Case Management.

If you have ongoing input from services we have arranged, this will continue as long as it is necessary.

You will receive a feedback text message - this relates to the input you have received from our service/your key worker/s. If you have future needs that require input from Active Case Management, your health/social care professionals and GP can re-refer into our service

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Equipment Collection, Repair and Servicing

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Equipment Collection, Repair and Servicing

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Do you have equipment you no longer use? Perhaps it is faulty or requires servicing - Bury residents can now request collection, repairs and servicing via the link above!

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Getting equipment

If you require equipment to help with daily living please contact our Occupational Therapist team on 0161 253 6858 to arrange an assessment or speak with your GP for a referral. During a visit we will carry out an assessment to see if you are eligible for support and what equipment is best required to suit your needs.

Returning equipment

All Equipment is loaned at no cost, if the equipment is no longer required, please complete the Request For Collection application and we will arrange collection, the equipment is then decontaminated and distributed to those in need and awaiting equipment.

You can also return equipment yourself directly to Bury Equipment Services:
Bridge Trading Estate, Unit 6b & 6c, Bolton Road, Bury, BL8 2AQ.

Upon arrive please report to Reception and we will advise where to return the equipment at the rear of the building and ensure an Officer is available to assist you.

Your feedback matters to us. Please take a few minutes to complete our survey below and help us improve our services.

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If you require equipment to help with daily living please contact our Occupational Therapist team on 0161 253 6858 to arrange an assessment or speak with your GP for a referral. During a visit we will carry out an assessment to see if you are eligible for support and what equipment is best required to suit your needs.

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Greater Manchester Fire and Rescue Service

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Home Fire Safety Assessment animation (full length)

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“This Van Can” mobile roadshow is travelling across all ten boroughs of Greater Manchester. On board, specially trained staff will be available for free, friendly conversations about spotting the early signs of cancer. Click 'Get Cancer Clever' above for further details on roadshow dates

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A member of your local Pharmacy team attends our weekly meetings - they help to support your care plan by providing information on your current prescription, check for interactions between medications you take and provide vital information on allergies and conditions you have

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Social Prescribing activities - available across Bury

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Social Prescribing activities - available across Bury

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Post Menopausal Bleeding - Self Referral

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Post Menopausal Bleeding - Self Referral

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Self referral Post Menopausal Bleeding Tool GP Digital Screen 1

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Blood in your poo or bleeding from your bottom, or changes to the consistency, frequency, or feeling of your poo could be a sign of bowel cancer. The sooner we spot it, the easier it is to treat.

Cancer doesn’t care, but we do. If you notice symptoms, speak to your GP.

#GMGetCancerClever

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Be a FireStopper - Report Deliberate Crime Anonymously

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Be a FireStopper - Report Deliberate Crime Anonymously

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Click the picture to enlarge/view contact details for other services that may be of benefit to you in the local community - includes contacts for Age UK, Citizens Advice and 'The Getting Help Line'

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Click the leaflet above for further information to keep you well during the colder winter months - includes information on how to look after your health, keeping yourself warm and help with heating costs

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Click the leaflet above for further information on the flu vaccination, including frequently asked questions, who should have it and why

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CIRCLE GENERAL OUTREACH FLYER 2024 Bcsf CLAIRE USES THIS FOR PRESTWICH CIRCLE

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Our Neighbour Leads attend each team meeting to help bring together partners from health, social care and wider teams. They ensure that our meetings run efficiently and support the team to work collaboratively in order to address the health and wellbeing needs of the local population