1. 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.

2. 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 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

3. 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

4. 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

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

6. 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

7. 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

8. 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

9. 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

10. Contact Information
option Mon – Fri to ( including Bank holidays)
Direct to Worcester team ( answer phone ) This is accessed at very regular intervals throughout the day
Fax number:
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

11. 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

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