Community Nursing and Networks- Who are we?

Email Referral Please use new email referral address: OOH.ISPA@uhcw.nhs.uk

Until the end of September 2024 if an e-mail / referral is received using the old OOH.ISPA@cwpt address, the sender will receive an e-mail along the lines of: “Your e-mail has been forwarded on but this e-mail account is no longer in use, please amend email address to OOH.ISPA@uhcw.nhs.uk.”

Rejected referrals:

Urgent Referrals: Referrers will be informed within 4 hours, by telephone and e-mail, by the triaging clinician, confirming why the referral has been rejected

Routine Referrals: Referrers will be informed within 24 hours by e-mail, by the triaging clinician, confirming why the referral has been rejected

NB: It is the responsibility of the referring clinician to inform the patient if the referral has been rejected

Using the PCIT Referral Tree to make a Community Nursing referral

Find Community Nursing & Therapy Team form location: OneLauncher -> Referral Tree -> Community -> Adult Community Nursing & Therapy

Definition of Housebound Patients for Referral to Community Nursing

UHCW, in collaboration with local GPs and Community Teams, have defined our ‘housebound’ guidance to ensure all patients, over the age of 18 years, receive the right treatment at the right time in the right place, only providing routine clinical appointments in a person’s home when deemed appropriate.

It is acknowledged that an individual’s needs can be transient, therefore eligibility for a home visit should be reviewed on a regular basis and wherever possible, individuals who are able are encouraged to attend their GP Surgery, or an alternative community clinic for their care.

Housebound definition

A patient will be deemed to be housebound when they are unable to leave their home environment through physical and/or psychological illness.  

Eligibility for a home visit will be determined on an individual patient basis by the assessing clinician, based on the above definition.

 An individual will not be eligible for a home visit if they are able to leave their home environment on their own or with minimal assistance to visit public or social recreational public services (including shopping).

As an exception, only those individuals who are not housebound but require nursing support with injections and catheters will be offered a visit

Referrals to the Community Nursing Service will not be accepted for individuals who do not meet the above definition. Eg: referrals for self- isolating patients who are not housebound should sign-posted to an appropriate medical venue

[House Bound Definition V1.4 May  2021 https://www.legislation.gov.uk/uksi/2020/1045/made]

Who to Refer? Place Based Team Community Nursing: Inclusion and Exclusion Criteria for Referrals

How do I contact / refer to the service?

If the patient is housebound and/or meets the criteria, then a Health care professional can complete attached EMIS referral form (see link right) and Email to: OOH.ISPA@uhcw.nhs.uk PLEASE USE EMIS FORM FOR REFERRAL*Please ensure any attached digital images include patient details within the image

GP Guide to Referring into Therapy Services in North and South Warwickshire

Criteria for the referral into SWFT District Nursing Teams

This document provides clear guidance on the inclusion and exclusion criteria for referral to the District Nursing (DN) teams

It ensures consistency of referral decisions, promotes appropriate use of resources, and supports equitable access to care for patients across the whole of Warwickshire

A DN team is a group of registered nurses, nursing associates, assistant practitioners and healthcare support workers who deliver skilled nursing care in patient homes, care homes and community settings

The team’s role is to provide clinical treatment, manage long-term conditions, support palliative and end of life care, promote independence, and coordinate with other health and social care services to help people remain safely at home and reduce unnecessary hospital admissions

This procedure applies to all referrals to the DN teams within South Warwickshire NHS trust

It is relevant to:

• District Nursing teams
• Urgent Community Response
• General Practitioners (GPs) and Primary Care staff
• Wards within SWFT, UHCW & GEH
• Hospital discharge teams
• Allied Health Professionals (AHPs)
• Social care services
• Voluntary and community sector partners
• Service users, relatives or carers
• Care homes

Principles:

• Where possible, Referrals for DN teams should be sent with at least 48 hours notice
• If it’s less than 48 hours’ notice the DN team may not be able to visit within the required timeframe
• Patients must be registered with a Warwickshire GP
• Services are provided 7 days a week
• Referrals will be accepted for anyone residing within a mental health facility
• Referrals accepted within residential care homes but not routinely within nursing care homes. Advice for complex cases will be considered on a case-by-case basis
• Referrals without sufficient clinical information to determine eligibility against inclusion/exclusion criteria will be rejected
• For palliative and end of life care district nursing teams will undertake the initial assessment and escalate to Specialist Palliative Care when appropriate

Incident reporting and monitoring of compliance

The monitoring of compliance with the key processes set out within this guidance will be reviewed in line with the incident reporting process and control measures

Any emergent themes or trends of exceptions will be raised via the Quality and Performance Group to consider the requirement for a more specific audit process to be applied

Feedback will be shared with partner services to promote learning and clarity

How to refer

Call the Integrated Single Point of Access (iSPA) on 01926 600818 and press option 1 or usour chatbot tool via the link below or QR code

iSPA chatbot

GP Guide to Referring into Therapy Services in North and South Warwickshire

See Rugby and South Warwickshire Guidance