Leading a nurse-led stoma partnership programme
Abstract
Abstract
This article discusses the service re-design within West Essex for the provision of ostomy care. This clinical focus will discuss the history of the service, why and how the service had to be re-designed to improve costs together with patient outcomes. Enabling the specialist nurse to manage a specialist service working in collaboration with the Clinical Commissioning Group can improve prescription costs together with patient outcomes.
There is a challenge in maintaining quality of care within ostomy, whilst also managing the cost constraints. The West Essex Clinical Commissioning Group (CCG) is currently undertaking development of a nurse-led service which incorporates prescribing, with the hope of improving the quality of stoma care.
Within West Essex CCG, pride is taken in a progressive and imaginative approach to improving and enhancing patient care in the community.
Historically, within the area, ostomy patients ordered their prescriptions via their GP surgery. GPs often had little clinical expertise within this area and were unable to support the patients with stoma management issues or review the patient annually to ensure prescribing was clinically appropriate.
The ostomy service at the acute trust was reduced in 2010, and the service could no longer able to support patients within the community. This meant support and advice could only be offered by telephone consultation as there was no patient pathway in place.
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