North Devon, UK
Current Professional Title: Clinical Manager Infection Control and Tissue Viability
Current Employer: Northern Devon Healthcare Trust incorporating Community Services in Exeter Mid and East Devon
Student nurse training 1981, RGN in 1984, subsequently worked in GU/general surgery, ICU, CCU, vascular/general surgery and infection control. Set up the Tissue Viability nursing service in North Devon in 1995 and combined it with infection control soon after. Gained Bsc Nursing in 2000 and MSc wound healing in 2006.
In 2007 worked for Wounds UK developing a clinical & educational tissue viability support package for nursing homes. Returned to the NHS later that year to current clinical and strategic lead role for IC &TV.
Current challenge is the incorporation of community services previously the remit of the Primary Care Trust for both infection control and tissue viability. Current targets include lowering incidence of CAUTI and pressure ulceration and improving compliance with pressu
Comment on: Leg ulcers: let’s do the sums
Why is it that when a CCG commissions vascular assessment for varicose veins where leg ulcers are present that the patients are not referred in the volume that would be expected - is it because ulcer care is nurse led and nurses don't know of this clinical policy?
Over £500,000 in spent in my CCG on urgent care admissions for ulcers which are the primary diagnosis for admission and more on cellulitis of lower limb which is often associated with presence of leg ulcer - no doubt a good proportion of these admissions could be avoided if we spent the money earlier reducing suffering for patients and easing urgent care pressures
Exciting prospect for the future to reduce severity of infection by control of toxins without killing the bacteria themselves
The review was well constructed and seems to be the best evidence yet so is proper food for thought - however the NICE evidence review does not yet call for change in practice and it is also worth a read
Comment on: New vaccines to join immunisation schedule
This is good news - however I am intrigued to understand how vaccination against shingles is designed to work when shingles is a reactivation disease of the chickenpox virus that has been on board for years - normally vaccination produces immunity so that you are ready in advance to fight off disease when it comes along - perhaps this shingles vaccine enhances the immune system to maintain effective viral suppression
'Mandatory legally enforceable safe staffing levels' - good call Peter - the levels will need to be developed for different patient mixes in the different specialties and also the community nursing teams need to have this approach too - the skill mix is also important with trained versus untrained needing some clarification - but in a national health service it seems entirely right and proper to have a baseline set which must not be breached below in order to get safe and equitable and sustainable care 24/7 - this is much more important I believe than the headline grabbing nonsense of the pre-reg HCAing - ensure the training includes good proportions of supervised practice in properly staffed teams in both hospital and community and the care and compassion will return as standard