Healthcare Team

 

Clinical Pharmacy Team

Our Clinical Pharmacy Team is made up of three dedicated professionals:

  • Clinical Pharmacist: Annalisa Di Maria
  • Pharmacy Technician: Santosh Suman
  • Prescription Clerk: Anita Withers

We work closely with GPs, nurses, and the wider practice team to support safe, effective, and personalised use of medicines.

The team plays a key role in the management of long-term conditions, including reviewing and optimising medicines to ensure they remain safe, effective, and appropriate for each patient. We carry out structured medication reviews, particularly for patients with complex health needs or those taking multiple medicines, with a strong focus on patient safety and shared decision-making.

We also manage a wide range of medication-related queries, from routine prescription issues to more complex clinical medication questions, helping patients understand their treatment and addressing any concerns they may have. This includes reviewing side effects, interactions, dosing queries, and liaising with GPs or specialist teams when needed.

In addition, the Clinical Pharmacy Team supports the smooth running of GP pharmacy services by managing prescription requests, medication changes following hospital discharge, and ensuring continuity of care across primary and secondary care.

Our aim is to improve patient outcomes, enhance medication safety, and ensure patients receive the best possible care through a person-centred approach to medicines management.

 

Physicians associate (PA)

  • PA Kayla Emmanuel

Physician associates (PA’s) are healthcare professionals, regulated by the general Medical Council, who work as part of a multidisciplinary team under the supervision of a named senior doctor (a consultant or general practitioner). They work to the medical model but are not doctors. They aim to provide care to patients by diagnosing, treating, and managing common and emergency conditions. The aim of physician associates in GP practices include:

  • First point of contact, following triage by our highly trained reception team, to establish a working diagnosis and management plan in partnership with the patient and supervising GP, where appropriate.
  • Support the management of patient’s chronic conditions, including hypertension, chronic kidney disease, heart failure, etc.
  • Provide health promotion and disease prevention advice.
  • Analysing and action diagnostic tests including blood tests and imaging.
  • Undertake clinical tasks where needed i.e. phlebotomy, ECGs, routine observations, urinalysis

PAs are part of the government’s medical associate professions (MAPs) in the healthcare workforce and have been working in the UK since 2003.

Appointments are available Thursday & Fridays at Wargrave Surgery.

 

Mental Health Clinician (MHC)

  • MHC Iram Fatima

Our Mental Health Clinician (MHC) plays a combined consultation, advice, and triage/liaison role within the practice. She works with patients aged 18 years or over experiencing mental health difficulties to:

  • Offer specialist triage assessment for a range of mental health conditions - Depression, Anxiety, stress or PTSD responses, emotional instability, hearing voices or other psychotic experiences.
  • Offer signposting advice, treatment recommendations - talking therapies, 3rs sector organisations, specialist services, secondary care.
  • Offer review appointments for post medication initiation/change - can task GP’s or pharmacies for consideration of medication initiation. change.
  • Annual SMI Mental Health Reviews (not the physical review)

Appointments are available Tuesdays at Wargrave Surgery.

 

Care coordinator

  • Coordinator - Mary Adeyemi

Care Plan Creation A care plan is a personalised written document outlining an individual’s health and support needs, how these will be met, and who is responsible. It includes:

  • Personal goals and what matters to the patient
  • Daily care, medication, routines, and support needs
  • Funding and accountability
  • Safety and risk management
  • Regular reviews to ensure care remains effective

Key Responsibilities

  • Conduct Cancer Care Reviews and signpost patients to appropriate services.
  • Act as the central contact for patients with non-medical needs and attend relevant meetings.
  • Identify and support vulnerable patients, including frail individuals, those with LTCs, or mental health challenges.
  • Guide patients through health and social care services and ensure smooth coordination across primary, secondary, and community care.
  • Provide high-quality information to support patient choice.
  • Develop personalised care and support plans, promoting self-management and shared decision-making.
  • Support GPs by helping patients manage wider determinants of health (e.g., housing, debt, loneliness).
  • Assist patients with complex needs to navigate personal health budgets.
  • Work closely with the Health & Wellbeing Team to ensure appropriate referrals.
  • Coordinate referrals and follow-up actions for monthly MDT meetings.
  • Support QOF and IIF targets for long-term condition management.
  • Assist clinicians with admin tasks such as monitoring blood results and handling non-clinical paperwork.
  • Maintain professional development and share learning with colleagues.
  • Improve practice systems related to Clinical Governance and Quality Indicators.
  • Contribute to NHS contract delivery, including QOF and enhanced services.
  • Keep accurate and confidential patient records.
  • Work to NHS and NICE guidance, ensuring evidence-based care.
  • Participate in quality governance, audits, and service improvement initiatives.
  • Evaluate patient outcomes and the effectiveness of care plans.
  • Support practice-wide learning and reflection following complaints or incidents.
  • Assist in organising video group clinics (e.g., postnatal, hypertension).
 

Social prescriber

  • Social Prescriber – Julia Wheeler

Social prescribing can help anyone over 18 whose health and wellbeing are being impacted by factors that cannot be resolved with a medical prescription. Social Prescribers are part of the surgery team, working to help address the wider causes of ill-health — things like loneliness, caring responsibilities, finances, employment, housing issues, stress, or managing long-term conditions.

Social Prescribers spend time with patients finding out what really matters to them and what support they need to make positive changes. They can support people referred into the service for up to three months and work with them to create a personalised plan and to access longer term support from local charities, social care, and other services that can really make a difference to their health and wellbeing.

If you think this service will help you, ask for a Social Prescribing referral from your GP.

 

District nurse

District nurses, who are experienced senior nurses working in teams, cater to the needs of housebound patients from the surgery and will visit your home if necessary. A referral from one of our GPs is required to engage the community nursing team.

They can be contacted directly at their base on 0118 9495083.

 

Wokingham Wellbeing Service – Mind in Berkshire

  • Wellbeing officer – Mandy Salter

The service is available to anyone 18+ who is living in Wokingham borough or is registered at a Wokingham GP surgery.

Our Wellbeing Worker offers free non-clinical one-to-one sessions which we hope will enable you to put practical things in place that can help you manage everyday stress and wellbeing difficulties.

They can:

• Give you time, space and support to speak about your concerns and help you identify what is important to you.
•They work in a non-clinical way, personal-centred way to help develop tools and techniques to help you improve your wellbeing. They may also tell you about relevant services/resources.
• If you feel it is helpful, they will support you to identify goals and encourage you to work towards them.

They offer an initial appointment, face-to-face in GP surgeries of the Charity Community Hub in Wokingham, telephone or video call which is 45 minutes and then can offer further 30 minutes follow up appointments (up to 6 appointments in total).

How to access the service

 

Community midwives

We kindly ask patients who wish to let the surgery know about their pregnancy to first complete the RBH midwifery team’s online form using the link below. Once the midwifery team has received your form, they will notify the practice of your pregnancy.

Maternity booking form

 

Physiotherapy

Fit and Able Ltd provides our physiotherapy service seeing both NHS patients and private patients at the surgery; private home visits can also be arranged. Physiotherapists are Jenny Collis and Christine Woolnough both qualified for 20 years. Fit and Able provide a self referral service.

You can make a physiotherapy referral if you suffer from the following musculoskeletal (MSK) conditions listed below:

  • Upper back
  • Neck pain
  • Joint pain
  • Arthritis
  • Sports injuries
  • Soft tissue injuries
  • Muscles / ligaments
  • Foot problems
  • Rehab issues

How to get a referral

 

This service is not available for patients are under 9 years of age or over the age of 79.

For more information please visit the Fit and Able website