ACCESS TO:RESPIRATORY SERVICES 1 Protocol for the Transfer of Care of Respiratory cases on an out patient basis To Neath Port Talbot Hospital From September 2012 all acute inpatient facilities and acute medical Doctors to look after respiratory cases will cease to be available and therefore no inpatient transfer of acute care will be possible. Aim: To ensure best clinical practice maintained and good communication and coordination between service providers on all four sites for the safe and timely repatriation and follow up care at NPTH for this group of patients. Patients from the Neath Port Talbot area who are discharged from Singleton, Morriston and Princess of Wales Hospital may be followed up at NPTH if a discharge summary is immediately FAXED to Dr Ebejer/Dr Vardills secretaries. Tel. 01639 862038; FAX (awaiting new fax machine) 1) The Respiratory Nurse follow-ups patients with pneumonia, Tuberculosis, Bronchiectasis, unstable asthmatics and COPD patients residing in the NPT locality. 2) We do no routinely follow-up uncomplicated asthma or COPD. 3) New Respiratory referral requests to Respiratory Consultants. 2 4) The following patients are also followed up in Nurse led clinics: Tuberculosis, Bronchiectasis, COPD, Asthma and nebuliser trial clinics. 5) The Respiratory Nurse receives referrals from Public Health for Port of Entry screening for cases residing in the NPT locality. Contact tracing for other sites of Tuberculosis cases that have contacts that wish to be screened at NPTH. 6) Currently Respiratory patients that are known to the chest Consultants/Respiratory Nurse at NPTH are able from 8am- 4pm Monday to Friday contact the Respiratory nurse direct for advice on management in the event they are becoming unstable. (Thus putting in place appropriate management plan dependant on Respiratory problem and initiating treatment out in primary care where possible.) Tel 01639 862275 – Respiratory Nurse Specialist (NPTH). 7) Based on outcome of point 5 patients are then seen within same week or 2 weeks for review in the Respiratory Nurse clinic. (appointments are expedited) Patients who may be suitable for pulmonary rehabilitation and who have been assessed by a Respiratory physician/Respiratory Nurse may be referred directly to the COPD team. Tel. 01639 683049 FAX: 01639 820914 Adhering to: Local and national guidelines and Respiratory pathways of care. British Thoracic Society guidelines/NICE for individual Respiratory conditions Nursing and midwifery council for nursing practice Knowledge skills framework 2011 Clinical Governance policy & Framework 3 Respiratory Contacts for: Neath Port Talbot Hospital Respiratory Nurse Specialist: Moira Bell - 01639 862275 bleep 2249 Oxygen Nurse: Hannah Howard - 01639 8622010 Secretaries: Angela Griffiths & Deborah Collins - 01639 862038 Consultants: Dr M Ebejer & Dr D Vardill Singleton Hospital: Respiratory Nurse Specialists: Linzi Johnstone & Michelle Davies – 01792 285873 or 01792 200666 Fax: 01792 200333 Secretary: Emma Williams 01792 285541 (for Dr P Ebden & Dr R Finn) Secretary: Deborah Lewis 01792 200351 (for Dr Packham & Dr G Davies) Morriston Respiratory Nurse Specialists: Cheryl Owen - 01792 702222 ext 3286 Consultants: Dr Harrison & Dr E Evans 4 Princess of Wales Hospital Respiratory Nurse Specialists: Dawn Harry - 01656 752200, Cath Stracy - 01656 752142 & Rebecca Douglass - 01656 752142 Respiratory Nurse Practitioner: Jane Whittingham – 01656 752203 Consultants: Dr R Mehta & Dr M Sevenoaks 5 Access to Respiratory Services NPTH 6