REMEDY : BNSSG referral pathways

Nursing Services - South Gloucestershire

Checked: 01-10-2018 by vicky.ryan Next Review: 01-10-2019

Out of Ours Nursing Service - Sirona

The Sirona Care & Health Out of Hours Nursing Service provide nursing care from 5pm - 11pm (a team of nurses and Health Care Assistants cover the shift between 11.00pm – 8.00am).

Please refer to the Out of Hours Nursing Service website for further information.

Palliative Care Home Support - Bristol Community Health

This service is available to patients registered with a GP in the Bristol OR South Gloucestershire area.

The Bristol Community Health Palliative Care Home Support Service (PCHS), work with other healthcare professionals to offer care and support at the end of life. The service is led by clinicians with many years of experience in caring for people at this time of life. The team is based in Avonmouth but care is carried out in patient homes.

Referrals should be made using the Palliative Care Referral Form (word doc).

If you would like to talk about the referral please call PCHS South Gloucestershire, call 0117 982 8545.

Our office base is open from Monday-Friday, 8am-6pm; weekends and bank holidays, 8am-4pm.

 

Night Sitting Service

The Sirona Care & Health Night Sitting Service provide short term help for vulnerable people in their own homes, who are at risk of hospital admission. They can also facilitate early discharge from hospital by providing night time care and support for the unwell, as well as end-of-life patients and their families.

Please refer to the Night Sitting Service website for further information.

Referral Guidance - Night Sitting Service

Referrals can only be made by GPs or other healthcare professionals to the following address:

Night Sitting Service

Downend Clinic

Buckinghans Gardens

Downend

Bristol

BS16 5TW

Tel: 01454 865 000

                                                                                                                                                                                                                                                                                                                                                                                             

Community Matron Service

Community Matrons are highly experienced senior nurses who work closely with the patient and their doctor to plan and organise their care.

As well as providing nursing care they also act as the patient’s ‘case manager’ – the single point of contact for care, support and advice. They make sure the patient understands how their medicines help their condition and may prescribe new medicines on behalf of other health professionals.

Each Community Matron is attached to a group of GP Practices in their area.  Their aim is to prevent unnecessary and unplanned admissions to hospital and help to maintain independence, health and wellbeing.

For further details please see Community Matron Service

Referral Guidance - Community Matron Service

Referrals are accepted either from patients or their GP using the contact details below.  Patients receive an initial assessment by a qualified nurse who will work with them to assess their needs

Referrals to be sent to:

Downend Clinic (locality office)

Buckingham Gardens, Downend, Bristol, BS16 5TW

Opening hours: Monday – Friday 8am – 6pm

Tel: 0117 330 2506

Nursing support, care and treatment is available 24 hours a day, 7 days a week. Please call 01225 831400 if you need out-of-hours advice.

Yate Locality Office:

21 West Walk Yate, Bristol, BS37 4AX

Open hours: Monday-Friday 8am-6pm

Tel: 01454 315 355 option 2

Nursing support, care and treatment is available 24 hours a day, 7 days a week. Please call 01225 831400 if you need out-of-hours advice.

District Nursing Service

This service is for adults who are registered with a GP in the South Gloucestershire area.

The service provides a 24 hour nursing service for adults who are housebound.   This can include;

  • Comprehensive individual assessment of needs

  • Out-of-hours clinical nursing care, support and advice

  • Skin care, including pressure ulcer care, post operative/wound and leg ulcer care

  • Continence assessment and provision of aids

  • Catheter care and bowel management

  • Palliative care, including holistic management and symptom control for people with cancer and other life limiting conditions

  • Advice, guidance and support regarding medications

  • Provision of equipment, including advice and assessment to maintain independence

  • Monitoring and screening of chronic diseases, including Diabetes, Chronic Obstructive Pulmonary Disease and Cardiovascular Disease.

District Nursing Service

Referral Guidance - District Nursing

Patients can either self-refer or can be referred by a GP or other health care professional.

Patients will receive an initial assessment by a nurse who will work with you to identify your health needs.

Contact the service at:

Downend Clinic (locality office) Buckingham Gardens, Downend, Bristol, BS16 5TW

Opening hours: Monday – Friday 8am – 6pm

Tel: 0117 330 2506

Nursing support, care and treatment is available 24 hours a day, 7 days a week. Please call 01225 831400 if you need out-of-hours advice.

Yate Locality Office:

21 West Walk Yate, Bristol, BS37 4AX

Opening hours: Monday – Friday 8am – 6pm

Tel: 01454 315 355

Nursing support, care and treatment is available 24 hours a day, 7 days a week. Please call 01225 831400 if you need out-of-hours advice.

Macmillan Rehabilitation and Support Service

This service is available for people who are registered with a GP in the South Gloucestershire area.

We accept referrals for people who:

  • Have completed or are due to complete primary treatment for cancer (surgery, chemotherapy or radiotherapy).
  • May be receiving maintenance treatment, adjuvant hormone therapy, or are on a “watch and wait” regime.
  • Do not require end of life palliative support and care. If someone requires end of life support, other services are more appropriate.

The Macmillan Rehabilitation and Support Service is made up of an Occupational Therapy Case Manager and an Occupational Therapy Assistant Practitioner. We offer support to people who are experiencing reduced quality of life due to cancer and/or cancer treatment.

The kind of issues that people living with and beyond cancer often experience include:
• fatigue
• low mood and anxiety
• physical challenges or weakness / de-conditioning
• reduced concentration, memory or other challenges with thinking (cognitive) skills
• fear of recurrence
• changes to body image
As a consequence people may have difficulties
• participating in their usual physical activities, roles and responsibilities
• remaining in or returning to work,
• accessing community facilities
• making lifestyle changes to reduce the risk of recurrence or improve prognosis

Patients can self-refer or be referred by their GP or other health care professional. See Macmillan Rehabilitation and Support Service for further details

Lymphoedema

Please see the Lymphoedema page of Remedy for further information