HNY Policy and Pathway Repository - Humber

The Community Nursing and Treatment Room Service provides support and care for patients with a range of nursing needs including those recently discharged from hospital (including discharges out of hours), those recovering at home and those at end of life

The services will work with patients and their carers to provide advice and guidance on all aspects of their care, promote independence and help delay deterioration and reduce the risk of avoidable hospital admission.

Hull and East Riding Treatment Room Service

Actual opening times of each Treatment Room will vary from Base to Base and may fluctuate with demand

Telephone contact for queries: 01482 247111

Clinics are staffed by Registered Nurses and Health Care Assistants across each week

Patients will be asked for preference of Treatment Room to attend, however, if no appointment is available, they may be offered appointments at an alternative Treatment Room ,subsequent appointments may then be arranged at their preferred / nearest Treatment Room.

Patients with diabetic foot ulcerations should be referred immediately to:

CHCP Podiatry Service - via 01482 247111 or via NHS eReferrals – CHCP Podiatry Service

Palliative patients with uncontrolled / complex symptoms make direct referral into CHCP Specialist Palliative Care via CHCP Care Coordination Hub on 01482 247111 (option 9)

Exclude Red Flag Symptoms

For Lower Limb wound referrals immediately escalate to the relevant clinical specialist, those with the following ‘red flag’ symptoms / conditions:

• Acute infection (e.g. increasing unilateral erythema, swelling, pain, pus, heat).
• Symptoms of SEPSIS
• Acute or suspected chronic limb threatening ischaemia, (e.g. PAD in combination with rest pain, gangrene, or lower limb ulceration > 2 weeks duration)
• Suspected acute deep vein thrombosis (DVT)
• Suspected skin cancer
• Bleeding varicose veins

Do not refer

• Patients under 18 years old
• Care / treatment or screening which is not part of the Community Nursing and Treatment Room Services interventions offer
• Treatments / investigations which are commissioned under other arrangements e.g. flu vaccinations
• Interventions required at Nursing Homes due to skill and competency gaps
• Patients who following risk assessment have breached the ‘CHCP Violence and Aggression Policy’
• Patients who have multiple consecutive failed home visits (as per ‘Did Not Attend - DNA’ guidance) despite warnings sent utilising applicable policy

See: Hull and East Riding (ER) Community Nursing and Treatment Room REFERRAL FORM GUIDE for signposting information

Hull and East Riding (ER) Community Nursing and Treatment Room REFERRAL FORM GUIDE (opens in download arrow on top bar)

Guidelines on Management (opens in download arrow on your top bar)

• Patients aged 18 years and over
• Patient has a nursing need which meets the service intervention criteria

The Community Nursing and Treatment Room service offer a range of clinic-based appointment and home visits for housebound patients.

Referrers should be aware that all patients should be encouraged to attend a Treatment Room Community Clinic whenever possible.

At the time of the first assessment patients will be assessed for the most suitable arrangements for ongoing care using the definition below:

Community Nursing and Treatment Room Service housebound definition:

Being housebound means an individual is unable to leave their home on their own or with assistance of others due to advanced age, illness, or a disability. The characteristics of advanced age, illness or disability alone do not necessarily mean that someone is housebound.

Therefore:

• Those patients who are able to leave home independently or with assistance of others (including those using mobility aids such as wheelchairs, scooters etc.) are not ordinarily considered to be housebound.

• Patients who are able to leave home independently or with the assistance of others for social activities or other appointments (healthcare or otherwise) are not ordinarily considered to be housebound.

The Community Nursing Service will therefore assess patients based on these criteria. Those not meeting the above criteria will be booked to have their treatment and care provided in the treatment clinic and not at home.

Referrals

*Please Note: referrals from GP or Health Care Professional must be completed in full with the relevant requested information, failure to provide this will result in a rejected referral and potential delay to care *

Completed referral forms will be accepted via: SystmOne to SystmOne, email to: chcp.247111@nhs.net or ERS

Telephone contact for queries: 01482 247111

The Community Nursing and Treatment Room Service have a suite of forms to support a robust referral process - if the intervention requested does not have a specific form, please use the GENERIC referral form at the bottom of the list (all referal forms on ARDENS)

• Hull and East Riding Community Nursing Service BLOODS Referral Form
• Hull and East Riding Community Nursing Service BOWEL CARE Referral Form
• Hull and East Riding Community Nursing Service PALLIATIVE CARE Referral Form
• Hull and East Riding Community Nursing and Treatment Room Service CATHETER CARE Referral Form
• Hull and East Riding Community Nursing and Treatment Room Service MEDICATIONS (including Insulin) Referral Form
• Hull and East Riding Community Nursing and Treatment Room Service WOUND CARE Referral Form
• Hull and East Riding Community Nursing and Treatment Room Service GENERIC CARE Referral Form

• Overview | Pressure ulcers: prevention and management | Guidance | NICE
• BLS Home (thebls.com)

Information to Include

• Referrer and their contact details
• Detailed explanation of the care required
• Any risks associated with the potential visit or appointment
• When the first visit / appointment is required, or an appropriate timeframe for this to occur i.e.: within x days, 1 week, 2 weeks, 1 month
  • however, please note this may change following clinical triage and to allow for the correct prioritisation of patients

See embedded document for service Referral Urgency and Response Times and more information: (opens in download arrow on top bar)

If you have any queries or questions relating to the service, please contact the Operations Manager or Clinical Team Leader for the locality via CHCP Care Coordination Hub

Tel: 01482 247111