We visit people in their own homes who are either housebound or require our specialist nursing skills. We aim to avoid unnecessary hospital admissions, support in end of life care and promote health and wellbeing.
The community nursing services provide care to patients across Surrey. We provide comprehensive assessment and skilled nursing care tailored to the needs of each patient.
We support patients to manage their long term conditions independently.
We also work closely with GPs, adult social care, voluntary care services, the palliative specialist team and other services within the multi-disciplinary team.
Find out more about what to expect from your district nursing service:
Response times will reflect your need. Below are some guidelines. If you are referred for urgent care, we aim to contact you within four hours. Examples of this include:
- administration of timed medication, such as insulin or intravenous antibiotics;
- blocked catheter; or
- uncontrolled symptoms in end of life care.
If your need is not urgent, we aim to contact you within 48-hours to agree an appointment date. Examples of this include:
- continence assessments;
- one-off visits;
- specialist assessments for long term conditions; or
- wound care.
Services provided by Community Nurses
- A comprehensive and holistic assessment of patients accepted by the service, and the creation of an individual care plan.
- Leg Ulcer Management –assessment and treatment for patients with a leg ulcer accepted for admission to the caseload.
- Wound Management –assessment, treatment and advice for patients with wounds.
- Phlebotomy – venepuncture for housebound patients at home and in residential settings.
- Immunisation influenza and other immunisations for patients at home and in residential settings who are part of the current caseload.
- Continence Management –assessment and advice for patients with continence problems, including arranging the provision of continence supplies and referral to specialist continence services.
- Diabetes Management and Treatment –home visits to provide diabetes treatment and monitoring (e.g. administration of insulin for patients who are unable to self administer, or have no carer/family member able to do so); may not always be housebound.
- Monitoring and treatment of long-term conditions, for patients who are housebound or find it difficult to access regular healthcare (but not including annual reviews).
- End of Life Care – on-going assessment, pain management and symptom control for terminally ill patients. Referral to Specialised Palliative Care services other services for patients/carers. Verification of death for patients on the caseload, where death is expected. Post bereavement visit.
- Continuing Healthcare – completion of checklist and Health Needs Assessment for patients on the current caseload receiving community nursing care.
- Medication administration – to support patients to administer their prescribed medication, enabling the patient to remain at home. Administration of medicines including:
- Syringe pump medication
- Rectal insertion
- Transdermal medication
- Intramuscular and subcutaneous injections.
- Nurse prescribing by appropriately trained, experienced and competent District Nurses against a clearly defined formulary.
- IV and Catheter care – this includes:
- Care of central venous access devices (flushing and site care)
- Care of urethral/supra-pubic catheters
- Patient education regarding catheter care