NHS Basildon & Brentwood Clinical Commissioning Group. Unplanned & Planned Care Pathways. Adam Cronin BBCCG - Version 2 (April 2013),
|
|
- Magnus Rodney Norris
- 5 years ago
- Views:
Transcription
1 NHS Basildon & Brentwood Clinical Commissioning Group Unplanned & Planned Care Pathways Adam Cronin BBCCG - Version 2 (April 2013),
2 Contents Unplanned Care Community Hospital Step up beds 2 Single Point Of Referral (SPOR) 3 Primary care & assessment treatment centre (PCATC) 4 Integrated Community Geriatrician 5 Diabetic Foot (Basildon) 6 Diabetic Foot (Brentwood) 7 Planned Care Rapid Advice Service for Haematology 8 MSK / Tier 2 9 Community Ophthalmology 10 Community Dermatology 11 Contents
3 2. Community Hospital Step up Beds Inclusion Criteria Inclusion criteria - acute illness not requiring admission to acute hospital not expected to exceed 7 day length of stay Step-up rehabilitation from community - not acutely unwell (not requiring rapid diagnosis or intensive hospital type support) Mild COPD - unable to cope at home, mild to moderate breathlessness, general condition deterioration Community acquired pneumonia - clinical judgment supported by CRB65 severity score should be applied; if 1 or 2, consider referral Mild dehydration - should patient require IV fluids Falls not requiring diagnostics, x-ray, etc. Function deterioration of condition to include medication titration Unstable diabetes - not requiring sliding scale insulin intervention Palliative Care - symptom control and management Frail Patients Exclusion Criteria Respite Care Mental instability, acutely confused e.g. Delirium Acutely unwell - requiring intensive medical care Acute or unstable psychiatric disorder requiring specialist psychiatric input Detoxification need from drugs or alcohol Urgent social care services need unless the primary need is for health care Service user must be 18 years or over and have been assessed by GP. Assessment and treatment can include; IV Antibiotic therapy, IV Fluids, Pain management, Bloods transfusion, Cellulitis management, Referral to appropriate care programme, Functional deterioration of chronic neurological conditions, Medication review and Dementia - if known dementia/cognitive decline but no other mental health problems and no evidence of delirium Accessing step up beds Brentwood Locality (Mon Fri 9am 9pm) Contact the Primary Care & Assessment Treatment Centre (PCATC) Telephone: Billericay, Basildon & Wickford Locality (Mon Fri 9am 5pm) Contact Mayflower Hospital Telephone: Community Hospital Step up Beds
4 3. Single Point of Referral (SPOR) What is Single Point of Referral? (SPOR) Single Point of Referral (SPOR) is available for patients that are at risk of a hospital admission with an aim of providing rapid health and social intervention, to maintain patients in their normal residence (home/ care home). Inclusions 18+ for patients that are at risk of a hospital admission. The service provides rapid assessment (within 2 hours of referral) with access to integrated intermediate health & social care services. The service accepts referrals from all health & social care professionals How do you access the SPOR Service? For all practices of Basildon & Brentwood CCG Contact Number: Between the hours of 9am 5pm Monday Friday excluding public bank holidays GP, Other professional or Home Care Provider Acute Hospital Single Point of Access (SPA) SPOR receive a call from one of the above where depending on the nature of the patient the team will implement one of the following: (a) Health professional visit to the patient (b) Social care visit to the patient (c) Joint Health & Social Care visit to the patient (d) re-direct the call to the appropriate service listed below Depending on the outcome of the assessment, the team may access the following services. Social Care Health Teams Tele Care Interim and Respite Beds Poplar reablement flats BCH & Mayflower Community Hospital Integrated Community Team Primary Care & Assessment Treatment Centre (PCATC) Stroke Hub Team Essex Care Reablement Dementia Intermediate Support Team Day Hospital (Brentwood) Community Geriatrician Clinics 3. Single Point of Referral (SPOR)
5 4. Primary Care & Assessment Treatment Centre (PCATC) Inclusion Criteria patients aged over 18 patients must have been seen by their GP on the day of referral The Primary Care Assessment and Treatment Centre (PCATC) provides services for adults who, following an initial assessment within primary care, require further multi-agency assessment, monitoring or treatment, but without recourse to secondary care and avoid an A&E/ secondary care assessment. diagnosis of presenting complaint detection and management of predisposing and associated conditions, e.g. UTI, chest infection appropriate treatment and/or referral to specialist services referral to Integrated Community team for support during health crisis and/or rehabilitation programme environmental assessment and installation of equipment and aids where necessary referral to secondary care if appropriate full information to patient s GP of all diagnostics/treatment provided and outcome liaison with Essex county care social team Exclusion Criteria onset of new neurological signs suggestive of stroke onset of new cardiac symptoms acute abdomen trauma with head injury, wounds or suspected fracture any loss of consciousness aged under 18 years any existing mental health condition, the GP will need to discuss with the nurse in charge of the appropriateness in terms of safety and compliance to treatment. patient with suspected or confirmed infective diarrhoea patients who require complex palliative care or symptom management. Accessing the Primary Care & Assessment Treatment Centre (PCATC) For Basildon, Brentwood, Billericay & Wickford Localities Contact Number: (between the hours of 9am 9pm) A shared care on SystmOne will be required if the referrer is a SystmOne user 4. Primary Care & Assessment Treatment Centre (PCATC)
6 5. Integrated Community Geriatrician Model Referral Criteria Patients 75 years or over deemed to be at high risk of unnecessary acute admission and meet one or more of the following criteria: 3 or more acute admissions within past 12 months; Cognitive decline/isolation/living alone; 2 or more Long Term Conditions Identified as having quality care or safety issues Multiple medications Rapid Access / Planned First Community Outpatient Clinics Residential Care Home Multi- Disciplinary Team Reviews Locality Based Multi- Disciplinary Team Reviews Patients referred by their General Practitioner will receive an individual assessment, treatment and management plan for their condition. The medically-led service model will be delivered from each of the three Community Day Hospital settings in south west Essex inc: Billericay, Brentwood and Thurrock. The Service will provide mental, physiological and functional assessment of patients within key Residential Care Homes identified by the Clinical Commissioning Groups. General Practices associated to each Care Home will be contacted by the lead Consultant Geriatrician to discuss and agree their approach ahead of each review. The Service will provide mental, physiological and functional assessment of patients within key Residential Care Homes identified by the Clinical Commissioning Groups. General Practices associated to each Care Home will be contacted by the lead Consultant Geriatrician to discuss and agree their approach ahead of each review. Accessing Integrated Community Geriatrician Model For Basildon, Brentwood, Billericay & Wickford Localities Referrals can be made via Telephone: (01277) or Fax: (01277) Referrals can be made via Choose & Book or Referral Management Services Locality based MDT Reviews can be requested via the Community Geriatric Service administrator (Sue Douglass ) 5. Integrated Community Geriatrician Model
7 6. Diabetic Foot Pathway - Basildon Low Current risk STAGE 1 foot The At Risk Foot STAGE 2 (a) Foot The High Risk Foot STAGE 2 (b) Foot STAGE 3 FOOT Ulceration STAGE 4 FOOT Ulceration and infection STAGE 5 FOOT: The Devitalised Foot Diabetes present but no other risks: Normal Sensation Normal Pulses No deformity Presence of 1 risk factor: Neuropathy or Absent pulses or Foot deformity Neuropathy & absent pulses +/ deformity or previous ulceration episode, now healed. Relative Risk of ulceration is 80 times the risk for those in green box Superficial Ulceration and skin fissures, no evidence of infection. Or? Charcot s warm swollen foot but no ulcer and no architectural distortion present The Infected Foot Stage 4 Where the patient is systemically well and no necrotic or devitalised tissue is visible. Or with new Charcot s when architectural distortion already present The Infected Foot Stage 5 Patient is systemically unwell Devitalised tissue present Necrosis Visible/protruding bone Gangrene Managed by GP Practice Patient education leaflet Annual review Managed by GP & Podiatry Patient education leaflet Review interval determined by podiatrist Managed by Podiatry & Orthotics intensively: Ring Fax Urgent Podiatry Referral If Charcot s suspected, patient to minimise weight bearing on affected foot: Ring Fax Same Day Urgent Podiatric referral OR Diabetic Foot Clinic Ring OR Dr Mulcahy/Horndon Ward or X 1952 Refer to Hospital MDT Foot Team Dr Mulcahy Ring OR Horndon Ward ext Diabetic Foot Pathway - Basildon
8 7. Diabetic Foot Pathway - Brentwood Low Current risk STAGE 1 foot The At Risk Foot STAGE 2 (a) Foot The High Risk Foot STAGE 2 (b) Foot STAGE 3 FOOT Ulceration STAGE 4 FOOT Ulceration and infection STAGE 5 FOOT: The Devitalised Foot Diabetes present but no other risks: Normal Sensation Normal Pulses No deformity Presence of 1 risk factor: Neuropathy or Absent pulses or Foot deformity Neuropathy & absent pulses +/ deformity or previous ulceration episode, now healed. Relative Risk of ulceration is 80 times the risk for those in green box Superficial Ulceration and skin fissures, no evidence of infection. Or? Charcot s warm swollen foot but no ulcer and no architectural distortion present The Infected Foot Stage 4 Where the patient is systemically well and no necrotic or devitalised tissue is visible. Or with new Charcot s when architectural distortion already present The Infected Foot Stage 5 Patient is systemically unwell Devitalised tissue present Necrosis Visible/protruding bone Gangrene Managed by GP Practice Patient education leaflet Annual review Managed by GP & Podiatry Patient education leaflet Review interval determined by podiatrist Managed by Podiatry & Orthotics intensively: Ring Fax Urgent Podiatry Referral If Charcot s suspected, patient to minimise weight bearing on affected foot: Ring Fax Same Day Urgent Podiatric referral OR Diabetic Foot Clinic Ring OR Dr Mulcahy/Horndon Ward or X 1952 Refer to Hospital MDT Foot Team Dr Mulcahy Ring OR Horndon Ward ext Diabetic Foot Pathway - Brentwood
9 8. Rapid Advice Service for Haematology (RASH) GP identifies a patient with a haematological abnormality Refer to RASH Referral assessed by Consultant Haematologist Electronic reply within two working days with advice on: Likely diagnosis (es). Further investigation and management in the community. Whether a formal secondary care haematology referral is necessary. Re-referral for further advice on any subsequent investigation interpretation available. Inclusion Criteria Anaemia (Hb >8). Polycythaemia (Hct >47% F; >50% M). Isolated macrocytosis (MCV >100) Leucocytosis & lymphocytosis. Eosinophilia. Leucopenia, neutropenia & lymphopenia. Thrombocytosis & thrombocytopenia. Haematinic abnormalities. Raised globulins. Low concentration paraproteins Anticoagulation & thrombosis problems. Easy bruising. Accessing the RASH Service Exclusion Criteria Suspected: Leukaemias.* Lymphomas. Myeloma. Severe or multiple cytopenias. Refer direct to secondary care either urgently or via 2WW. *Could refer early CLL to RASH. For Basildon, Brentwood, Billericay & Wickford Localities Right click on communicaions. Click on communications wizard. Click SystmOne user. Select Brentwood Day Hospital. Click on + sign, scroll down and select Dr. Andy Hughes. Select send electronic message. Type in referral question. Click send. Make sure there is shared care granted (Go to administration; R. click shared care; select new share). 8. Rapid Advice Service for Haematology (RASH)
10 9. MSK / Tier II Inclusion Criteria All Trauma and Orthopaedics, Pain Management and Rheumatology referrals that do not fit into the below exclusions should be referred to Tier II. Exclusion Criteria Direct referral to secondary care by GP is appropriate for: Red Flags Urgent Suspicion of systematic inflammatory disease requiring medical management, e.g. morning stiffness present for > 30 minutes or more than 6/52 Refer directly to rheumatology Suspicion of serious pathology (malignancy, infection), i.e. general malaise, weight loss, night sweats, loss of appetite Refer directly to secondary care Signs of cord compression/cauda equina syndrome, ie bilateral leg pain, bladder/bowel frequency or retention, saddle anaesthesia, gait disturbance, pins & needles, numbness, or worsening neurological symptoms. Refer directly to neurosurgery/orthopaedics Suspicion of recent fracture requiring intervention Refer directly to orthopaedics Post-Surgical Problems Acute Trauma Previously assessed patient requests surgery Children (Any under 16 years of age should be referred to secondary care (paediatrics) Accessing MSK/ Tier 2 For Basildon, Brentwood, Billericay & Wickford Localities Complete a referral form and send to Tier II with or without a referral letter by fax to or it to swe-pct.tierii-msk@nhs.net You can also send a referral via Choose & Book. Queries MSK / Tier II
11 10. Community Ophthalmology Inclusion Criteria Persistent/chronic or unexplained red eyes Asymptomatic incidental eye lesions e.g. on retina, cornea or conjunctive usually noted by opticians including naevi, cysts, etc. Blepharitis including Acne rosacea Epiphora (watery eyes) Eyelid lesions Cysts, Chalazion, Trichiasis etc. Dry eyes Iritis recurrent/acute including Shingles Keratitis Floaters/flashes (Photopsias) Dry Macular degeneration (a) Pressure checks including gonioscopy of eye angles (b) Pressure checks with Goldman s and Pachymetry for corneal thickness. Unexplained eye symptoms e.g. pain, following assessment by GP/Opticians/OPSIs, or for 2nd opinion. Visual symptoms including transient visual loss Screening for systemic condition with eye manifestations, ocular side effect of drugs and patient unsuitable for diabetic photography screening Exclusion Criteria Age 5 years or less Squints, Glaucoma Patients for intraocular surgery e.g. Cataracts Patients requiring glasses prescription Accessing the Community Ophthalmology Service For Basildon, Brentwood, Billericay & Wickford Localities Referrals to the service can be by fax , via Choose & Book or letter. Urgent cases and advice only, can be obtained by telephoning / Community Ophthalmology
12 11. Community Dermatology Accessing Community Dermatology For Basildon, Brentwood, Billericay & Wickford Localities Referrals to this service should be sent by writing to: Dr U Buhari, Community Dermatology clinic, Mayflower Community Hospital, Blunts Wall Road, Billericay, Essex, CM12 9SA Tel: Fax: Community Dermatology
NHS Basildon & Brentwood Clinical Commissioning Group. Adults Service Directory
NHS Basildon & Brentwood Clinical Commissioning Group Adults Service Directory CONTACTS 2 For all UNPLANNED CARE Does the patient have a loss of function? YES Does patient have any of the following that
More informationManagement Of The Diabetic foot
Management Of The Diabetic foot Aims, Pathways, Treatments Nikki Coates 12/1/18 Diabetic foot pathology Neuropathy Foot deformity Vascular disease Sensory neuropathy Limited Joint Mobility Smoking Autonomic
More informationHumber NHS Foundation Trust. Joint Effort
Joint Joint is a new community based musculoskeletal service that treats patients with complex problems of the spine, upper and lower limb. Joint s experienced Consultant Orthopaedic Surgeons and Extended
More informationHospital at Home. Frailty and Hospital at Home. 17 th March Pam Livingstone and Gwyneth Thom
Hospital at Home Frailty and Hospital at Home 17 th March 2016 Pam Livingstone and Gwyneth Thom National Definition of Hospital at Home December 2013 An episode of specialist care delivered at home as
More informationDIABETIC FOOT BOOK THE. A guide to keeping it simple and preventing complications. Practice genii. the Diabetic Foot Book
DIABETIC THE FOOT BOOK A guide to keeping it simple and preventing complications Understanding how diabetes can affect foot health and the measures that are taken to prevent diabetic foot complications
More informationYour Orthotics service is changing
Your Orthotics service is changing Important for referrers on changes effective from January 2015 Why is the service changing? As demand for the orthotics service increases and budgets remain relatively
More informationOPHTHALMOLOGY DEPARTMENT Primary care referral guidelines
OPHTHALMOLOGY DEPARTMENT Primary care referral guidelines Contents REFERRAL CATEGIES... 2 Emergency... 2 Urgent... 2 Semi urgent/routine... 2 Not accepted... 2 OPHTHALMOLOGY CONDITIONS NOT ACCEPTED...
More informationDiabetes Foot Screening and Risk Stratification Tool
Diabetes Foot Screening and Risk Stratification Tool Welcome to the Diabetes Foot Screening and Risk Stratification Tool This tool is based on the work of the Scottish Foot Action Group (SFAG). It has
More informationYour Orthotics service is changing
Your Orthotics service is changing Important information for service users on changes effective from July 2015 Why is the service changing? As demand for the Orthotics service increases, Livewell Southwest
More informationSystmOne & Map of Medicine
SystmOne & Map of Medicine IT & care of long term conditions Our experience of improving health care and efficiency by producing an integrated system (primary care, community services and secondary care
More informationRenal Foot Care. Christian Pankhurst
Renal Foot Care Christian Pankhurst The consequences of poor management of the renal foot are considerable: prolonged ulceration and ill health, gangrene and amputation, depression and death. The health
More informationRoot cause analysis of major lower limb amputations in diabetes 2013/14 at County Durham and Darlington Foundation Trust (CDDFT).
Root cause analysis of major lower limb amputations in diabetes 2013/14 at County Durham and Darlington Foundation Trust (CDDFT). By Dr Sara Haq GP Registrar, Durham and Tees Valley Deanery Diabetes Audit
More informationGP Referral Guidelines. for. South Wales Cancer Network. Document Control Sheet. Specialty/Project Haematological Site Specific Group
GP Referral Guidelines for South Wales Cancer Network Document Control Sheet Organisation South Wales Cancer Network Specialty/Project Haematological Site Specific Group Document Title GP Referral Guidelines
More informationExclude referred pain from the neck, diaphragm, heart, lungs, & polymyalgia rheumatica YES. NSAIDs/analgesics as required
Shoulder Pain Clinical Presentation info for GPs who refer into PAH more info History and Examination Exclude referred pain from the neck, diaphragm, heart, lungs, & polymyalgia rheumatica more info for
More informationLOTHIAN LUMBAR SPINE PATHWAYS
LOTHIAN LUMBAR SPINE PATHWAYS Patient Completes STarT Back form Assess patient and screen for Red Flags. If present refer to Appendix 1 Establish if Neurogenic. If so refer to Appendix 2 Children under
More informationJurong Medical Centre
Jurong Medical Centre JurongHealth, the public healthcare cluster formed to facilitate the integration of services and care processes for the community in the west, manages the integrated healthcare hub
More informationNATIONAL REHABILITATION HOSPITAL SPINAL CORD SYSTEM OF CARE (SCSC) OUTPATIENT SCOPE OF SERVICE
NATIONAL REHABILITATION HOSPITAL SPINAL CORD SYSTEM OF CARE (SCSC) OUTPATIENT SCOPE OF SERVICE Introduction: The Spinal Cord System of Care (SCSC) at the National Rehabilitation Hospital (NRH) provides
More informationThe sickle cell outpatient service Information for adult patients with sickle cell disease
The sickle cell outpatient service Information for adult patients with sickle cell disease This information sheet has been given to you to help answer some of the questions you may have about the outpatient
More informationHEFT Pathology Guideline. GP Investigation and Referral Pathways for leucocyte, platelet disturbances and polycythaemia
HEFT Pathology Guideline GP Investigation and Referral Pathways for leucocyte, platelet disturbances and polycythaemia Produced by: Dr Charalampos Kartsios (Consultant Haematologist) and Muhammad Javed
More informationSalisbury Foundation Trust Radiology Department Referral Guidelines for Primary Care: Musculoskeletal Imaging
Salisbury Foundation Trust Radiology Department Referral Guidelines for Primary Care: Musculoskeletal Imaging These guidelines have been issued in conjunction with the Royal College of Radiology referral
More informationIntegrated Community Diabetes Services (ICDS) GP Referral Guide Version 3 - October 2014
Integrated Community Diabetes Services (ICDS) GP Referral Guide Version 3 - October 2014 Introduction The Integrated Community Diabetes Service (ICDS) will deliver high quality care to individuals who
More informationFrailty and falls assessment and intervention tool
Frailty and falls assessment and intervention tool Contents Frailty and falls 4 Social circumstances 5 Mental health 6 Environment 7 Nutrition 8 Dizziness or blackout 9 Medications 10 Mobility and balance
More informationVision for quality: A framework for action - technical document
3. Frailty Vision for quality: A framework for action - technical document Contents 1.0 Introduction 1 2.0 The current situation in Warwickshire North 2 3.0 The case for change 4 4.0 Views and opinions
More informationHealth and independence Strategic Vision and Implementation Plan for the Shropshire Frail & Complex Service
Enclosure 01 Health and independence Strategic Vision and Implementation Plan for the Shropshire Frail & Complex Service Frail &Complex Service The challenge to the local health & social care economy The
More informationThe Diabetic Foot Screen and Management Foundation Series of Modules for Primary Care
The Diabetic Foot Screen and Management Foundation Series of Modules for Primary Care Anita Murray - Senior Podiatrist Diabetes, SCH Learning Outcomes Knowledge of the Model of Care For The Diabetic Foot
More informationCP80 Version: V01. Acute Oncology Management Service Date approved: 8 th May 2015 Date ratified: 1 st June 2015 Review date: 1 st June 2017
STANDARD OPERATING PROCEDURE (SOP) AND PATHWAY FOR THE MANAGEMENT OF PATIENTS WITH METASTATIC SPINAL CORD COMPRESSION (MSCC) WITHIN THE CHRISTIE (Refer to the Manchester Cancer Network MSCC Pathway flowchart)
More informationRED AND AMBER FLAG GUIDANCE ORTHOPAEDIC CONDITIONS
RED AND AMBER FLAG GUIDANCE ORTHOPAEDIC CONDITIONS Distribution list: Clinical Commissioning Groups / All Worcestershire GP practices; Musculoskeletal Integrated Clinical and Assessment Services; Commissioning
More informationBuilding Healthy Communities. Diabetes Care Pathways Workshop-1 7 July 2016
Building Healthy Communities Diabetes Care Pathways Workshop-1 7 July 2016 Agenda and Approach Introductions Programme update and context BHC Future model and generic pathway Diabetes in Newham - Current
More informationAPPLICATION FOR PODIATRY ASSESSMENT
Office Only Date Received. TIARA No:.. Triaged: Routine / Urgent Clinic:.. Appointment date: Community Health Services Please Return To: Podiatry Service Call Centre South Wigston Health Centre 80 Blaby
More informationA Whole Pathway Integrated Approach to Improving Foot Care
A Whole Pathway Integrated Approach to Improving Foot Care Excellence in Action London Foot Care Network 4 th Feb 2016 Georgina Cunningham, Commissioning Manager LTC, Southampton City Integrated Commissioning
More informationSpinal cord compression
Spinal cord compression Urology Department Patient Information Leaflet Introduction If you have been diagnosed with cancer, you need to know about spinal cord compression and the warning signs. This leaflet
More informationNorthumbria Healthcare NHS Foundation Trust. Preparing For Foot and Ankle Surgery. Issued by the Orthopaedic Department
Northumbria Healthcare NHS Foundation Trust Preparing For Foot and Ankle Surgery Issued by the Orthopaedic Department This leaflet gives you information about what is involved in foot and ankle surgery.
More informationAnkle, sub-talar or mid-foot joint fusion
Ankle, sub-talar or mid-foot joint fusion This leaflet aims to answer your questions about having an ankle, sub-talar or mid-foot joint fusion. It explains the benefits, risks and alternatives, as well
More informationShoulder replacement surgery
Shoulder replacement surgery Information for patients The aim of this leaflet is to answer some of the questions you may have about having shoulder replacement surgery. It explains the risks and benefits
More informationAcute Oncology Martin Eatock Consultant Medical Oncologist NICaN Medical Director
Acute Oncology 2014 Martin Eatock Consultant Medical Oncologist NICaN Medical Director Patients admitted with cancer have a longer than average stay Berger et al. Clin Medicine (2013) Questions If your
More informationDr Ben Edwards Consultant Anaesthetist Sheffield Teaching Hospitals
Dr Ben Edwards Consultant Anaesthetist Sheffield Teaching Hospitals 70-75,000 #NOF per annum (costs 2 billion) 10% die within 1 month 33% die within 1 year Operative delays >48hs more than doubles risk
More informationPatient Information Cataract Surgery
Patient Information Cataract Surgery Introduction This leaflet has been written to help you understand more about surgery for a cataract. It explains what the operation involves, the benefits and risks
More informationAdult ADHD Service Patient Information Leaflet
Adult ADHD Service Patient Information Leaflet Our contact details Adult ADHD Service Keegan Court Grassbanks Gateshead NE10 8DX Tel: 0191 287 6250 Fax: 0191 287 6251 Email: NTAWNT.ANDS@nhs.net Please
More informationImportant: Please read before your appointment
Cataract Surgery Important: Please read before your appointment Consent for cataract surgery Prior to you having cataract surgery, you will be asked to sign a consent form. It is important that you understand
More informationWhat is Acute Oncology? Kay McCallum Acute Oncology Advanced Nurse Practitioner John Radcliffe Hospital Oxford September 2015
What is Acute Oncology? Kay McCallum Acute Oncology Advanced Nurse Practitioner John Radcliffe Hospital Oxford September 2015 What is Acute Oncology? Outline of Talk Concept of Acute Oncology Service (AOS)
More informationIntegration; Frailty; and efi
Integration; Frailty; and efi John Young Geriatrician, Bradford Hospitals Trust, UK National Clinical Director for Integration & the Frail Elderly, NHS England (john.young@bthft.nhs.uk) NHS England Older
More informationAnkle Fracture Orthopaedic Department Patient Information Leaflet. Under review. Page 1
Ankle Fracture Orthopaedic Department Patient Information Leaflet Page 1 Ankle Fracture Welcome to the Dudley Group NHS Foundation Trust. This leaflet will provide you with information regarding the diagnosis
More informationFemoral Neck (Hip) Fracture
Patient Information Leaflet Femoral Neck (Hip) Fracture Produced By: Orthopaedic Department September 2013 Review due September 2016 1 If you require this leaflet in another language, large print or another
More informationMyeloma Haematology and Transplant Unit MPT
MPT Myeloma Haematology and Transplant Unit MPT This leaflet is offered as a guide to you and your family. The possible benefits of treatment vary; for some people chemotherapy may reduce the risk of the
More informationOPHTHALMOLOGY REFERRAL GUIDE FOR GPS
OPHTHALMOLOGY REFERRAL GUIDE FOR GPS A guidebook to support general practitioners in the management and referral of a range of common eye problems. Contents 3 Introduction 4 Ophthalmic Workup 6 Acute Visual
More informationLong-stay patients methodology Published by NHS England and NHS Improvement
Long-stay patients methodology Published by NHS England and NHS Improvement July 2018 1 Document Title: Long-stay patients methodology Version number: 1.0 First published: 9 July 2018 Updated: Prepared
More informationPrescribing Framework for Methotrexate for Immunosuppression in ADULTS
Hull & East Riding Prescribing Committee Prescribing Framework for Methotrexate for Immunosuppression in ADULTS Patient s Name:.. NHS Number: Patient s Address:... (Use addressograph sticker) GP s Name:...
More informationTHE DIABETIC FOOT. Nicola Kilburn Diabetes Specialist Podiatrist
THE DIABETIC FOOT Nicola Kilburn Diabetes Specialist Podiatrist Diabetic foot disease is associated with significant morbidity and mortality. Foot screening is effective in identifying an individuals risk
More informationReferral to Adult Diabetes Specialist Services
Referral to Adult Diabetes Services Aim(s) and objective(s) To ensure that those people with Diabetes Mellitus (DM) who live within Lanarkshire are appropriately referred to the Diabetes Service (Consultant,
More information9 Diabetes care. Back to contents
Back to contents Diabetes is a major risk factor for the development of peripheral vascular disease and 349/628 (55.6%) of the patients in this study had diabetes. Hospital inpatients with diabetes are
More informationJulie Ball SHOT Clinical Incidents Specialist
Julie Ball SHOT Clinical Incidents Specialist Surveillance procedures from the collection of blood and its components to the follow up of the recipients To collect and assess information on unexpected
More informationWestern Locality Shared care Information ~ Penicillamine, Rheumatology April 2013
Western Locality Shared care Information ~ Penicillamine, Rheumatology April 2013 Penicillamine Treatment of: Rheumatoid arthritis Specialist: Please complete the Shared Care letter sending a request to
More informationExcision of Morton s Neuroma
Excision of Morton s Neuroma Day Surgery Unit Patient information leaflet This leaflet outlines the risks, general advice and information about foot surgery called an excision of a Morton s Neuroma. If
More informationPROOF. Intravenous Adult Community Therapy Team (IV-ACT Team) Intravenous antibiotics in the community
Division of Medicine and Community Services Intravenous Adult Community Therapy Team (IV-ACT Team) Intravenous antibiotics in the community Patient information leaflet for patients receiving (IV) therapy
More informationImaging Department Investigative procedure information leaflet Percutaneous biopsy of Lung (CT guided)
Imaging Department Investigative procedure information leaflet Name of procedure: Percutaneous biopsy of Lung (CT guided) It has been recommended you have a biopsy of your lung using CT (computerised tomography,
More informationSAFE HIP FRACTURES. Dr Karthik Kayan MD FRCP Consultant Physician and Orthogeriatrician Stockport NHS Foundation Trust
SAFE HIP FRACTURES Dr Karthik Kayan MD FRCP Consultant Physician and Orthogeriatrician Stockport NHS Foundation Trust Why hip fracture? Common in older adult (~84 years) UK current incidence : 70000 (Stockport
More informationSquint surgery in children
Squint surgery in children Eye Department Patient information leaflet What is the aim of surgery? The main aim of squint surgery is to improve the alignment of the eyes so that the squint is less noticeable.
More informationSystems approach to caring for older people
Systems approach to caring for older people Simon Conroy Head of Service/Honorary Senior Lecturer Geriatric Medicine, Cardiovascular Sciences University Hospitals of Leicester/University of Leicester www.le.ac.uk
More informationLeflunomide Treatment Rheumatology Patient Information Leaflet
Leflunomide Treatment Rheumatology Patient Information Leaflet Originator: Dr K Douglas Date: September 2011 Version: 2 Date for Review: September 2014 DGOH Ref No: DGOH/PIL/00217 Contact numbers If your
More informationVertebroplasty. Radiology Department. Patient information leaflet
Vertebroplasty Radiology Department Patient information leaflet This leaflet informs you about the procedure known as a vertebroplasty. It explains what is involved and the possible risks. The benefits
More informationRoot Cause Analysis The Tools. Angie Abbott Head of Podiatry and Orthotics Torbay and Southern Devon
Root Cause Analysis The Tools Angie Abbott Head of Podiatry and Orthotics Torbay and Southern Devon Why do RCA s? To understand if the amputation was avoidable or unavoidable Learn and improve Identify
More informationNorth Thames Children and Young People s Cancer Network
North Thames Children and Young People s Cancer Network CCN Initial Referral Protocol Relevant Children s Cancer Measure: 14-7A-115 Created: May 2010 Version: 2.1 Last Updated: May 2015 Referral Form only
More informationSCHEDULE 2 THE SERVICES. A. Service Specifications
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. 04/MSKT/0013 Service PAN DORSET FRACTURE LIAISON SERVICE Commissioner Lead CCP for Musculoskeletal & Trauma Provider Lead Deputy
More informationIbrutinib (Imbruvica )
Ibrutinib (Imbruvica) Ibrutinib (Imbruvica ) This leaflet is offered as a guide to you and your family. Ibrutinib is a type of anti-cancer treatment called a targeted therapy. The aim of this treatment
More informationTransjugular liver biopsy
Transjugular liver biopsy Radiology Department Patient information leaflet This leaflet tells you about the procedure known as a transjugular liver biopsy. It explains what is involved and the possible
More informationUveitis / Iritis. Introduction. Other formats
Other formats Introduction Uveitis / Iritis If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast, British Sign Language or translated
More informationWest Midlands Sarcoma Advisory Group
West Midlands Sarcoma Advisory Group Guideline for the Initial Investigation and Referral to Specialist Sarcoma Multi Disciplinary Team for Suspected Bone Sarcoma Version History Version Date Brief Summary
More informationDementia Strategy. Contents
Section Dementia Strategy Contents Page 1. Introduction 2 2. Context of Northern and Eastern Devon 2 3. Our Values and Principles 3 4. Key Result Areas 5 5. Needs Analysis 6 6. Model of Service Delivery
More informationReferrals - August 2017
WELCOME TO THE LATEST EDITION OF OUR MONTHLY NEWSLETTER FOR THE SOCIAL PRESCRIBING PROGRAMME ISSUE NO. 16 450 400 350 300 250 200 150 100 50 0 73 45 74 Dr. Malling Dr. Sims Arayomi Referrals - August 2017
More informationSquint surgery in adults
Squint surgery in adults Eye Department Patient information leaflet What is the aim of surgery? The main aim of squint surgery is to improve the alignment of the eyes so that the squint is less noticeable.
More informationArthroscopic rotator cuff repair
Arthroscopic rotator cuff repair This leaflet aims to answer some of the questions you may have about having an arthroscopic rotator cuff repair. It explains the benefits, risks and alternatives to the
More informationPeople at the centre of health and care
People at the centre of health and care Improving Care for Older People in Acute Care F is for Frailty F is for Frailty Identification and co-ordination of care for frail older people Starting point -
More informationAfatinib (Giotrif ) Your treatment Your doctor has prescribed you a treatment called afatinib (Giotrif ) which is a tablet and is taken orally.
Afatinib (Giotrif) Afatinib (Giotrif ) This leaflet is offered as a guide to you and your family. The possible benefits of treatment vary; for some people chemotherapy may reduce the risk of the cancer
More informationAbemaciclib (Verzenios ) Abemaciclib (Verzenios )
Abemaciclib (Verzenios ) Abemaciclib (Verzenios ) Abemaciclib is a targeted (biological) therapy. This group of drugs block the growth and spread of cancer. They target and interfere with processes in
More informationHaematological Cancer Suspected (Adults & Children)
Haematological Cancer Suspected (Adults & Children) Link to NICE guidelines: https://www.nice.org.uk/guidance/ng47 Patient of any age presents with symptoms of possible haematological cancer If 60 years
More information145 overall responses (30 Respondents did not complete the survey after Q3 (no data))
0 Delirium Stocktake 2017 for Health of Older People Service Level Alliance Background As part of its focus on improving the wellbeing of older people, Health of Older People Service Level Alliance (HOPSLA)
More informationAngiogram. Information for patients
Angiogram Information for patients What is an Angiogram? What is an angiogram? An angiogram is used to take detailed pictures of arteries using x-ray guidance. Normally blood vessels do not show up on
More informationNATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE
NATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE NATIONAL REHABILITATION HOSPITAL SCOPE OF SERVICE FOR THE SPINAL CORD SYSTEM OF CARE PROGRAMME
More informationCataracts (1 of 7) What is a cataract? What can be done about a cataract? Lens
i If you need your information in another language or medium (audio, large print, etc) please contact Customer Care on 0800 374 208 or send an email to: customercare@ salisbury.nhs.uk You are entitled
More informationREFERRAL GUIDELINES: OPHTHALMOLOGY
Outpatient Referral Guidelines Page 1 1 REFERRAL GUIDELINES: OPHTHALMOLOGY Date of birth Demographic Contact details (including mobile phone) Clinical Reason for referral Duration of symptoms Essential
More informationPatient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. CT Scanning. Radiology
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust CT Scanning Radiology This leaflet tells you about having a Computerised Tomography (CT) Scan. It explains what is involved
More informationHOW TO SPOT A FOOT ATTACK PREVENTING SERIOUS FOOT PROBLEMS
HOW TO SPOT A FOOT ATTACK PREVENTING SERIOUS FOOT PROBLEMS Your foot check has shown that there is a high risk that you could develop serious foot problems 2 YOUR FEET MATTER If you ve been given this
More informationPutting feet first: national minimum skills framework
In partnership with Putting feet first: national minimum skills framework The national minimum skills framework for commissioning of footcare services for people with diabetes Revised March 2011 This report
More informationPatient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. The Herniogram. Radiology Department
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust The Herniogram Radiology Department This leaflet provides you with information about having a Herniogram. It explains what
More informationReferral Information
Orthopaedic Orthopaedic ( and Forearm) (Other) Referral Guidelines Austin Health Orthopaedic Clinic holds weekly multidisciplinary meetings to discuss and plan the treatment of patients with Orthopaedic
More informationESSENTIAL SHARED CARE AGREEMENT FOR Risperidone, Olanzapine, Quetiapine, Aripiprazole, Amisulpride (South Staffordshire Only)
E099 ESSENTIAL SHARED CARE AGREEMENT FOR Risperidone, Olanzapine, Quetiapine, Aripiprazole, Amisulpride (South Staffordshire Only) NOTE: Please complete details on P1 &3 Send one copy to GP, Patient and
More informationSelective Dorsal Rhizotomy (SDR) Scotland Service Pathway
Selective Dorsal Rhizotomy (SDR) Scotland Service Pathway This pathway should to be read in conjunction with the attached notes. The number in each text box refers to the note that relates to the specific
More informationFocusing on A&E. By Sandy Cooper, (Ophthalmic Nurse Practitioner), Tel
Focusing on A&E By Sandy Cooper, (Ophthalmic Nurse Practitioner), Tel 01752 439331 Email sandra.cooper5@nhs.net sandracooper041@btinternet.com THINGS TO WORRY ABOUT WITH ANY EYE PROBLEM CHANGES IN VISION
More informationPaediatric Physiotherapy Donna-Marie Jones Paediatric Physiotherapy Chelmsley Wood Primary Care Centre Crabtree Drive Chelmsley Wood Solihull B37 5BU
Solihull Community Children s Services Name of service Service manager Contact details Paediatric Physiotherapy Donna-Marie Jones Paediatric Physiotherapy Chelmsley Wood Primary Care Centre Crabtree Drive
More informationA guide for professionals. Emotional Wellbeing Team
South Tyneside NHS Foundation Trust A guide for professionals Emotional Wellbeing Team Gateshead CAMHS Providing a range of NHS services 1 in Gateshead, South Tyneside and Sunderland. Who are we? The Emotional
More informationAlectinib (Alecensa ) Alectinib (Alecensa )
Alectinib (Alecensa ) Alectinib (Alecensa ) This leaflet is offered as a guide to you and your family. The possible benefits of treatment vary: for some people, treatment may reduce the risk of the cancer
More informationNon weight bearing advice (post operative)
Non weight bearing advice (post operative) Physiotherapy Department Patient information leaflet Who is this booklet for? This booklet is for post-operative patients who have been told that they will have
More informationAcute Kidney Injury 2
South West Cardiovascular Strategic Clinical Network Acute Kidney Injury 2 Audit review meeting 18/07/2014 Redwood Education Centre Author: Summary of results: Dr Preetham Boddana Consultant Nephrologist
More informationArthroscopic capsular release. Information for patients Orthopaedics - Upper Limb
Arthroscopic capsular release Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation
More informationOrthopaedic (Ankles & Feet) Referral Guidelines
Orthopaedic (Ankles & Feet) Referral Guidelines Austin Health Orthopaedic Clinic holds weekly multidisciplinary meetings to discuss and plan the treatment of patients with Orthopaedic and Fracture conditions.
More informationDiabetic foot Ulcer Dressings Guidance and Referral Advice
Diabetic foot Ulcer Dressings Guidance and Referral Advice Approved By: Professional Advisory Forum Date: October 2002 Review Date: October 2003 Originator: Diabetic Foot Ulcer Working Group Diabetic foot
More informationDiabetes (DIA) Measures Document
Diabetes (DIA) Measures Document DIA Version: 2.1 - covering patients discharged between 01/07/2016 and present. Programme Lead: Liz Kanwar Clinical Lead: Dr Aftab Ahmad Number of Measures In Clinical
More informationMetastatic Spinal Cord Compression (MSCC) Clinical guidelines and pathway
Metastatic Spinal Cord Compression (MSCC) Clinical guidelines and pathway Version 2: May 2012 To be read in conjunction with NICE CG75 Developed by consensus by: Dr Peter Robson, Consultant Oncologist,
More informationCarpal tunnel decompression advice
Southend University Hospital NHS Foundation Trust Patient Information Service Carpal tunnel decompression advice SOU1277_120995_1018_V2.indd 1 28/11/2018 09:16 SOU1277_120995_1018_V2.indd 2 28/11/2018
More information