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Successful home IV initiative to be expanded to 'hundreds of patients'

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A successful project, led by community nurses, to provide intravenous antibiotics to patients with a long-term lung condition in their own homes is set to be extended to a range of different conditions.

Initially designed for a relatively small number of patients with bronchiectasis, it has proved so successful it has now been expanded to cellulitis, said South Tees Hospitals NHS Foundation Trust.

“A collaboration of clinical staff… came together to improve the service for the benefits of patients”

Sam Griffiths

There are also plans for further expansion also include patients with diabetic foot ulcers, who require long term IV antibiotics for up to six weeks.

In addition, the trust suggested there was further potential for hundreds of other patients with various conditions to benefit in future, rather than stay in hospital when their only treatment requirement was IV antibiotics.

The project saw community matrons across Middlesbrough, Redcar and Cleveland trained to administer IV antibiotics to patients with bronchiectasis through a five-day “rapid project improvement workshop”.

It formed part of South Tees Clinical Commissioning Group’s Integrated Management and Proactive Care for the Vulnerable and Elderly (IMProVE) programme.

South Tees Hospitals NHS Foundation Trust

Success for nurse-led home IV antibiotics scheme

New service: Patient Anne Clarke (front centre) with Dr George Antunes and respiratory nurse specialists Janet Leight (back left) Kathleen Allison (back right) and Tina Stallard

Sam Griffiths, clinical lead for community nursing, initially spent five days designing and redesigning the new service to make it as efficient as possible, once it had the support of the trust.

Several months of regular reports and feedback meetings followed to ensure the service was designed and developed to be as “slick as possible”, noted the trust.

Ms Griffiths said: “A collaboration of clinical staff from both the hospital and community setting came together to improve the service for the benefits of patients.

“This included a respiratory consultant, bronchiectasis specialist nurse, community matrons, specialist physiotherapist and other clinical staff,” she said.

“To date, 14 patients have received the service with very positive feedback from patients,” she added.

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