‘Amazing’ new service at Pennine Acute Trust helps patients to receive therapy at home

Community IV
‘Amazing’ new service at Pennine Acute Trust helps patients to receive therapy at home
12 March 2015

“AMAZING” was the word used to sum up a new service launched by The Pennine Acute Hospitals NHS Trust.

The home intravenous (IV) therapy team has been commissioned by North Manchester Clinical Commissioning Group to provide community intravenous therapy for North Manchester registered ambulatory care patients. This means that the team provides care and treatment in the community for patients who require intravenous therapy and do not need to be in hospital.

Intravenous therapy is the administration of medication, fluid or nutrition directly into a vein through a small plastic line. The line can remain in place for up to a year, depending on the treatment required, and the type of line being used. The treatment will be administered through the line by a specialist nurse in the community either at a health centre or at home.

Community IV therapy services are already established in many Trusts across both Manchester and the north east sector. There are many benefits for both patient and healthcare staff including a reduction in hospital inpatient days and enabling patient care to be delivered in their own home.

The home intravenous therapy team at North Manchester has therefore been developed using national evidence that illustrates the benefits of community led intravenous therapy services, which enable admission avoidance and facilitate a patient’s early discharge from the acute sector to the community setting.

The team comprises consultant Katherine Ajdukiewicz; service manager Carol Kavanagh; lead pharmacist for infectious diseases, Adele Torkington; senior pharmacist Jenny Chan; advanced nurse practitioner Jason Holland; lead IV nurse Maria O’Callaghan, and also supplemented by nurses from the crisis response team.

Developed in conjunction with the infectious diseases unit at North Manchester General Hospital the project delivers a step down service from hospital. A bespoke theoretical package for community nurses was developed by the education and training department so that community nurses would have the skills to deliver IV treatments in community settings.

Patient CD from Blackley who is herself a district nurse for the late call service said:

“This is an amazing service. They wanted to admit me in to hospital for my treatment but I have two young children and this service has allowed me to stay at home and continue to do what I need to do for my family.”

CD is receiving IV treatment at home. She has a skin and soft tissue in her arm and has been a patient for five days receiving daily treatment from the team. She said:

“The nurses come once a day and administer my treatment. It takes about half an hour and is so convenient that this can be done at home instead of being stuck in a bed for several days.”

Carol Kavanagh, service manager, said:

“The most important aspect of the service is that it offers choice and enables patients to safely receive intravenous therapy in their own homes or in a community health care setting, thereby facilitating early discharge from hospital or preventing hospital admissions.”

Patient CD is pictured with Margaret Booth, crisis response / IV therapy assessor.