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Our team of dedicated Complex Care Nurses and Consultant District Nurses provide discreet and comprehensive care for patients with complex needs in Camden. We work collaboratively with multi-disciplinary teams, offering holistic care, clinical supervision, and fast-track access to CNWL Camden Provider services. Refer patients via GP meetings, MDT Hub, or individual GP practices. Benefit from MDT working, improved networks, shared local knowledge, and better patient outcomes.
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Who are we? • 3 dedicated Complex Care Nurses & 1 dedicated CPN Complex Care Nurse • Based in IPC DN Teams, North in Gospel Oak, South in Hunter Street, West in Belsize Priory • NC work across whole of Camden, support and discreet caseload, clinically supervise complex care nurses • Avenue/fast track to teams and services provided by CNWL Camden Provider services
Referrals • Directly from MDT Hub • Individual GP practices • Complex patients from within existing DN caseload or newly referred in to the service screened as having complex needs
How to refer • GP complex care meetings- • Via Hub MDT Example of referral next slide…..
Benefits of MDT working • Networks • Communication • Key heads together • Shared local intelligence knowledge of patients, services • Highlighting of what works • Identification of gaps in service • Holistic overview of patients & ability to gain consensus re best plan & best placed people/services
Services involved • CNWL DN service • CNWL NC , Hub SW, carers from care agency • CNWL TVN • GP • Acute admission (nightmare!) • ASC OT • CNWL Psychologist • CNWL Diabetic podiatry
Services involved cont… • CNWL Phlebotomy • Diabetes Team UCLH & CCG Project • CCG Commissioning • Support with new lymphoedema garment & UCS Wipes • Bariatric Team Imperial • Student SW
Benefits to our involvement • Patient describes his life as “turned around” • Ability to self care and manage and take control of his life • Erected a mirror in his house-shaved, looking good • New dressing regime-pilot-see cost savings
Benefits to our involvement • Diabetic foot ulcers healed • Leg ulcers healed • New dry mattress and bed-no more leaking! • Accepted for bariatric surgery including panniculectomy • Accepted for full Lymphoedema assessment TXT
Benefits to our involvement • A chair that fits! • Hope for the future…….
Consider the alternative if we’d not got involved • An early miserable death • Potential to become bed bound and totally dependent on services
Thank you • Please keep referring-increase referrals s.elvin@nhs.net