Service name District Nursing Main contact number for referrals/ SPA contact Romford Locality Romford Clinic 40 Main Road Romford Essex RM1 3BS Tel: 01708 796700 Fax: 01708 796730 Collier Row Clinic Hulse Avenue Romford Essex RM7 8NS Tel: 01708 796777 Fax: 01708 796788 Hornchurch Locality Elm Park Clinic 252 Abbs Cross Lane Hornchurch Essex RM12 4YG Tel: 01708 796079 Fax: 01708 796080 Rainham Clinic Upminster Road South Rainham Essex RM13 9AB Tel: 01708 796555 Fax: 01708 796573 Upminster Locality Harold Hill Health Centre Gooshays Drive Romford Essex RM3 9SU Tel: 01708 796400 Fax: 01708 796402 Cranham Health Centre Avon Road Upminster Essex RM14 1RG Tel: 01708 796100 Fax: 01708 796116 Community Night Service A Block St Georges Hospital Suttons Lane Hornchurch Essex RM12 6RS Tel: 020 8724 1440 Fax: 020 8724 1445 Switchboard: 01708 465000 Brief description of service The District Nursing service provides high quality patient centred care to adults (over 16) who require nursing at home or in nurse led clinics. This is carried out in partnership with patients, their carers and other agencies. The service aims to maximise the health of individuals and promote independence. Service base/ address See addresses above Hours service is provided Day Service – 08.30 – 17.00 Night Service – 17.00 – 08.30 Aims of Service 1. Keep people within primary care. 2. Facilitate early discharge from hospital. 3. Promote end of life initiatives. 4. Provide holistic & complex assessments of patients needs including referrals to other agencies where appropriate. 5. Promote independence and self care. 6. Prevent unnecessary hospital admission or A&E attendance. Staffing (roles) Adult Services Team Leader District Nurse/Case Manager District Nurse Senior Community Staff Nurse Community Nurse Assistant Practitioner Health Care Assistant How long will patients be seen/ treated. Min - Max N/A Patients/ conditions accepted/ referral criteria 1. Patients must live within the London Borough of Havering. 2. Patients must be housebound or require treatment at a nurse led clinic. 3. Post operative patients who are unable to travel. 4. Patients who require end of life care. 5. Patients who are undergoing chemotherapy or radiotherapy. 6. Patients who require treatment that would be inappropriate to carry out at a GP surgery, such as bowel care. 7. Patients who require short term support to promote independence at home. 8. Patients who require case management for long term conditions. Patients/ conditions NOT accepted 1. Inappropriate referrals. 2. Nursing care for the under 16s. 3. Patients who require urgent medical attention. 4. Patients who are not housebound or do not require treatment at a nurse led clinic. 5. Patients who require medication to be dispensed into pre-filled containers. 6. A “check visit” where there is no nursing need. 7. Patients who require personal care Where patients can be treated/ seen (eg. Home, clinics, hospital) and base 1. Home. 2. Clinics. 3. Residential Homes. 4. Nursing Homes (Specialist Advice Only) What service offers – treatment, interventions, tests etc 1. High quality nursing care. 2. Complex & holistic assessment. 3. Partnership working with other agencies. 4. Promoting Independence. List of Diagnostic/ Important information sought with referral eg test results. 1. Patients name, date of birth, address & telephone number. 2. Patients NHS number. 3. Patients next of kin. 4. Patients GP. 5. If patient is already known to DN Service. 6. Reason for referral and nursing need. 7. Name and contact details of referring person. 8. Relevant medical & surgical history and social circumstances. 9. Any know contra-indications to lone visiting. 10. 7-14 days supply of medication if appropriate. 11. 3-5 days supply of dressings if appropriate. 12. Completed medication authorisation if appropriate.