COMMUNITY IV TEAM June 2013 Debbie Etherington IV Therapy Team Lead INTRODUCE MYSELF, HELEN PENFOLD AND SUE ATTWOOD IV NURSES THANK YOU FOR ASKING ME TO COME TO PRESENT WITH DR MEL LING THIS EVENING, ABOUT THE IV SERVICE. THE IV SERVICE WAS SET UP IN 2006 – 71/2 YEARS AGO – SO I AM SURE THAT MANY OF YOU HAVE HEARD OF THE SERVICE EVEN IF YOU HAVE NEVER MADE A DIRECT REFERRAL. TONIGHT IS ABOUT OUTLINING THE CONTYWIDE SERVICE/ TEAM BUT ALSO DISCUSSING THE AIMS/OBJECTIVES AND THE REFERRAL PROCESS/MODEL I DO HAVE HANDOUTS OF MY PRESENTATION, ALSO COPIES OF THE ADMINISTRATION SHEETS, IV GUIDELINES – I COPY BUT THE CELLULITUS PATHWAY WHICH I KNOW THAT MEL WILL ADDRESS WITH YOU LATER IF YOU HAVE ANY BURNING QUESTIONS DURING THE PRESENTATION THEN BY ALL MEANS PLEASE ASK, OTHERWISE AN OPPORTUNITY WILL BE OFFERED FOR Q & A AT THE END OF BOTH PRESENTATIONS.

Operational Factors 6 trained staff in the team, with admin support ( my role also includes the formal IV training to HACW staff) Specialist team available Mon – Fri 08.30 to 16.30 Out of Hours teams ( Enhanced teams – twilights/nights) Covering a large geographical area – countywide 60 plus district nursing teams 5 community hospitals

The IV service is a Countywide Service supporting the delivery of Intravenous Therapy in the community in co – ordination with enhanced and planned community nursing services within each localities Worcester City, Droitwich, Malvern, Upton Wychavon – South East Worcester(Evesham/Pershore plus surrounding areas) Redditch & Bromsgrove Wyre Forest & Tenbury Wells Localities are designed to enable ease of access and quicker responses for referrers

Aims & Objectives Prevent hospital admission Promote early discharges To provide general support for patients, carers and professional colleagues To provide formal IV training and facilitate staff competencies in IV administration/cannulation Provision of IV treatment up to 3 times a day bolus/ once a day infusion via cannula, Central venous catheters

Short Term Conditions: Cellulitus UTI’s Surgical infections Long Term Conditions: Multiple Sclerosis COPD Bronchiestasis Osteomyelitis

The Model Single Point of Access for referrer Referrals come from: GPs, all the acute hospitals ( in the area and outside ) including private hospitals, Specialist nurses – COPD/ MS Patient must have a Worcestershire GP and be over 18 years old Assess suitability of the patients IV team initiate first visit to assess, set up and commence treatment Refer to relevant community nursing teams

Referral Patient information taken Length, frequency of the treatment ( TDS – look at capacity of the OOHs team ) – may liaise with the microbiologist Administration sheet – to be signed and faxed back to IV team DO NOT NEED A FP10 ( each commissioning group are charged retrospectively for any drugs dispensed ) Review patient – Dr Ling would be happy to see patients who are more complex and not responding

WORCESTER CITY, DROITWICH & MALVERN REFERRAL FIGURES JANUARY 2012 – DECEMBER 2012 If we look at the figures – there is definite room for an increase in GP referrals directly to the IV service Unfortunately from my data collection I am unable to say how many are referrals from Malvern – it’s across the 3 areas

PILOT & FUTURE DEVELOPMENTS Cellulitus Pilot – in Evesham / Broadway/ Bredon in place presently to test the referral processes in the OOHs. Ends June 30th ( 3 months ) Developing & Implementing a future service ( in the South of the County ) across 7 days – working closely with SWCCG CQUINN – Training 80% community hospital staff in IV therapy

Contact Information 01905 681818 option 2 Mon – Fri 08.30 to 16.30 ( including Bank holidays) Direct to Worcester team 01905 681039 ( answer phone ) This is accessed at very regular intervals throughout the day Fax number: 01905 795122 If you have any patients that you think may be suitable for home IVs and the oral option has been tried – please ring to discuss

Lynn Young, Primary Healthcare Advisor, Royal College of Nursing “ You can’t take patients into hospital just to have intravenous drugs. IV administration in the community is normal, safe practice and should be happening everywhere.” Lynn Young, Primary Healthcare Advisor, Royal College of Nursing

LETS WORK TOGETHER AND MAKE A DIFFERENCE TO THE PATIENTS IN OUR COMMUNITY. GIVING THEM CARE CLOSER TO HOME