How we have developed our home therapies programme Sr Elaine Gibson - - PowerPoint PPT Presentation

How we have developed our home therapies programme

Sr Elaine Gibson Shrewsbury and Telford NHS Hospitals Trust (SaTH)

Growth of Home therapies

• Clinical lead for home therapies from 2015
• Merging of PD and HHD nursing teams to

create ‘Home therapies team’ with band 7 lead from Jan 2015

• 4.2 WTE band 6 for PD, CKD education,

anaemia management and conservative care

• 2.88WTE (2x band 6, 1x band 5, 1x band 4) for

training and community support for HHD pts.

18.50% 23% 42% 5.20% 2.60% 7.80% Satellite HD 78 Incentre HD 97 Transplant 177 HHD 22 CAPD 11 APD 33 PATIENT NUMBERS MARCH 2017

Home Therapy numbers

32 32 31 34 44 15 17 21 19 22 5 10 15 20 25 30 35 40 45 50 March 2015 September 2015 March 2016 September 2016 March 2017 PD pts HHD pts

Future growth

• 7 pending PD pts with eGFR <10
• Acute PD
• Growing number of HD pts wanting HHD

Developments in 2016

• Peer support programme
• Drive for pts to use PatientView
• Nx stage campervan tour
• Home therapies fayre in addition to CKD

information seminar

• A drive to raise awareness of home therapies

amongst patients AND staff

• Medical insertions of PD catheters

Work in progress

• Structured training document for HHD pts
• Consistent training techniques by all staff
• Increase in teaching skills/confidence in staff
• Developing minimal care philosophy across all

units

Promotion of home therapies

• Early discussion about the concept and

benefits of self care

• Clear message for PD as first dialysis option,

then HHD

• Pt education during low clearance clinics,

home visits and information seminars

• Education by staff experienced in home

therapies

Future plans

• Collaborative working within nursing teams to

ensure consistent service

• Raising awareness of home therapies with

patients and staff

• Development of minimal care in all dialysis

sites

• Continue patient education after starting

dialysis to encourage self care