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Tissue Viability and Lymphoedema Services

Background

The Tissue Viability and Lymphoedema Service (TVALS) aims to provide a comprehensive assessment and treatment and provide specialist advice and knowledge for tissue viability and wound care management and lymphoedema for residents living in their own homes or in care homes (with or without nursing).

Our Vision

We will work with our communities to:

  • To provide expert knowledge and experience in assessment and treatment and to support clinicians in managing patients
  • To provide  care for patients and carers in the four cornerstones for  skin care, external support, programme of exercise and movement, and simple lymphatic drainage
  • Provide education and training to care homes (with or without nursing) at time of clinical visits and formal training and educational sessions
  • Work within a multi-disciplinary and case management approach to keep people independent and in their own home (or preferred place of care) for as long as possible
  • Prevent inappropriate and unnecessary hospital admission
  • Support timely hospital discharge

The service aims to provide equitable, accessible quality services to patient resides in the Doncaster defined boundary and are registered with a Doncaster GP. The service provision for lymphoedema is extended through an agreement with Bassetlaw Clinical Commissioning Group.

Mission  Statement

The service aims to provide education support and raise awareness for patients, family, carers and professionals in areas of tissue viability, lymphoedema and wound management.

Location(s) of Service Delivery Base Point

Cantley Health Centre

Telephone – 01302 566999

Hours of Service

Normal hours of operation 8.30am to 4.30pm Monday to Friday.

Bassetlaw Outreach Clinics

Tuxford Health Centre – alternate Wednesdays 8.30am to 4.30pm.

Retford Primary Care Centre, Retford – weekly Fridays 8.30am to 4.30pm

Doncaster Outreach Clinic

The Vermuyden Centre, Thorne – weekly Tuesdays 8.30am to 4.30pm

Weekends and Bank Holidays we are closed, but there is enough flexibility to meet the needs of service users and other professionals in the care pathway.

The service has an answerphone facility for periods when administrative staff are not available. The message clearly states that the service is not an emergency service and that if necessary the individual should contact their GP or Out of Hours Service. All assessments will take place in the service users preferred place of care; own home, residential home, nursing home, GP surgery or other appropriate location e.g. – dedicated TVALS clinic.

Referral Criteria and Sources

The referral must be by completion of the appropriate referral form.  Incomplete referrals will be returned to the referrer and will delays the processing of the request for service. In the case of inappropriate referral a nursing member of TVALS team will provide advice on the remit of the service and signpost the referrers to the appropriate service.

The referral form can be processed through TPP System One when accompanied with a task to TVALS Team or via fax to the safe haven in the TVALS Administration office.

Referrals can be made from any health or social care professional, carers and self-referral from patients.

Exclusion Criteria

Patients who are not normally resident in Doncaster and are not registered with a Doncaster GP.

Patients from Bassetlaw CCG SLA presenting with anything other than   lymphoedema cancer related or non-cancer related.

Patients who on the active case load and attending Acute Trust wound care or vascular care departments for their current regime of treatment.

Response Times and Prioritisation

All received referrals to be triaged by a nursing staff member of TVALS within two working days and rated as urgent or non-urgent for first visit.

Urgent – first organised visit within 1-5 working days.

Non-urgent’s from 6-21 working days

The patient is offered a first appointment in line with triaged referral. This information is supplied by letter if time frame allows or by telephone contact.

Discharge Process

Patient to be discharged from TPP System One TVALS caseload on conclusion of intervention.  When TPP System One spine information flags the details of a patient.

Letter with summary of TVALS consultation and intervention to be forwarded to referrer/GP if no access to TPP System One

Letter with summary of visit and treatment to be processed for patient.  Letter to contain details of care agency TVALS have shared/discharged with.

Details of TVALS contact for self-referral if further issues/problems.

Quality

TVALS will work with commissioners to identify, agree and deliver any service changes as part of any future developments across Doncaster to ensure continuous improvement in tissue viability and lymphoedema.

TVALS take part in bi-annual patient satisfaction survey.

Issue your opinion count survey forms as per RDaSH policy.

Useful information

Leaflets

The Tissue Viability Outreach Service (TVOS)

React to Red

Lymphodoema banner

tvos-youtube-v2Vascular Assist DVD

We’ve produced a short, web-based film to help patients understand a common medical assessment.

People who may be at risk of suffering from leg ulcers, pressure sores, poor circulation, or swollen ankles are referred for a simple non-invasive ‘vascular assist assessment’.

The straightforward assessment is difficult to explain to patients in a leaflet, so this short film helps explain the entire assessment in an easy to understand format, which is available for anyone to view on the internet.

To view the film online, go to: https://www.youtube.com/watch?v=HAHlyOlZ-Ek 

RDaSH Under pressure film: https://www.youtube.com/watch?v=AktHSU_VW6w&feature=youtu.be

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