Solent NHS TrustHigh quality community and mental health services

Tissue Viability/Leg Ulcer Service

Nurse led specialist service for residents of Southampton City registered with a City GP who require in-depth complex leg assessment and Management advice and care.

Referral Criteria

 

Referral Criteria &Sources

  • All patients with a leg ulcer or at risk of one, chronic swollen limbs, varicose eczema or complex wounds can be referred or self refer if the referral criteria (as per identified objectives) has been achieved or attempted. Incomplete or inconclusive Assessments can be referred and patients with non healing complex wounds
  • Referral criteria same as Objectives
  • Referral by template form faxed back to locked Service office
  • Referrals then triaged by nurse specialist

 Referral Route

  • Referral via referral form from any HCP via fax or electronically
  • Via self in a letter

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If you have a compliment, concern or complaint, please contact our Patient Advice and Liaison Service
 
 

Contact Information

Contact Monique Rosell
Phone 02380 608042
Fax 02380 538751
E-mail monique.rosell@solent.nhs.uk
Address The Tissue Viability/Leg Ulcer Service, Adelaide Health Centre, William Macleod Way, Southampton, Hants, SO16 4XE
 

Opening Hours

Monday 8:30 am - 4:30 pm
Tuesday 8:30 am - 4:30 pm
Wednesday 8:30 am - 4:30 pm
Thursday 8:30 am - 4:30 pm
Friday 8:30 am - 4:30 pm

Additional Information for Health Professional

Full service description

The Service can offer in depth complex nursing assessment, support and/or advice and a plan of treatment within the clinic and to the housebound[1] of Southampton City. Patients can be seen within the clinic or care shared with the referring healthcare professional.

The Service is also recognised as an area of learning and education where skills and knowledge can be gained or enhanced.

 Objectives

  • Offer assessment to patients after a formal initial assessment has been completed by the referring healthcare professional; initial care commenced and none or no significant healing has been identified at evaluation within 12 weeks (RCN Guidelines for Venous Ulceration, SCPCT Leg Ulcer Guidelines, 2006)
  • Offer support to initial assessment if unable to complete, e.g. Doppler screen, wound identification, stage of wound healing
  • To provide a comprehensive education package for Healthcare Professionals’ (HCP’s) to enhance and learn skills formally and informally.
  • To offer support/resource advice via the telephone to support patients/HCP’s for ongoing care, and identifies any skills gap and address.
  • To give every patient a plan of health education in order to maximise the opportunity to heal and remain healed and to identify referral and action to the multi-disciplinary team.

  


 

[1] Housebound patients are defined as ‘people who are unable to leave their house for transportation in a standard domestic vehicle without other than basic assistance, or who are terminally ill

Referral Criteria

 

Referral Criteria &Sources

  • All patients with a leg ulcer or at risk of one, chronic swollen limbs, varicose eczema or complex wounds can be referred or self refer if the referral criteria (as per identified objectives) has been achieved or attempted. Incomplete or inconclusive Assessments can be referred and patients with non healing complex wounds
  • Referral criteria same as Objectives
  • Referral by template form faxed back to locked Service office
  • Referrals then triaged by nurse specialist

 Referral Route

  • Referral via referral form from any HCP via fax or electronically
  • Via self in a letter

Referral Method

Other information & documentation

 Exclusion Criteria

  • Patients under the age of 16 will require a supporting letter from parent and GP if self referring.
  • Patients who self refer to be made aware team will contact HCP at GP surgery unless explicitly asked not to as a matter of courtesy.
  • Any patient possibly will not be able to be seen by Service in clinic if unable to travel with own or hospital transport and/or be unable to transfer to couch (they will be offered Assessment at home, but not ongoing care)

 Additional information

  • All new patients receive a verbal and written appointment contact. Written information includes advice on length of appointment, location map, items to bring with them, appropriate footwear and clothing and pre-appointment questionnaire on their condition and how it has affected them.
  • All patients receive a written health care advice leaflet where appropriate and ongoing contact details to Service and access times.  
  • Informal links with Podiatry to undertake joint clinic appointments
  • Discharge is undertaken if the referrer requests only a one off Assessment to support care planning. Subsequent care is organised on an individulaised basis.  When an episode of relevant care is completed - patient care returned to the referrer for leg ongoing support.
  • All GP/referrer are sent formal discharge letter with any support/advice and onward planning as necessary within 48 hours of discharge.
  • Patient and referrer have Office number (24hr answering service) to discuss issues

Clinical Lead Contact Info

Clinical Lead Julie Gove
Clinical Lead Title Clinical Nurse Specialist
Clinical Lead Phone 02380 608042
Clinical Lead Address THE LEG ULCER SERVICE ADELAIDE Health Centre WILLIAM MACLEOD WAY SOUTHAMPTON
Clinical Lead Postcode SO16 4XE
Clinical Lead e-mail julie.gove@nhs.net

Service Manager Contact Info

Service Manager Julie Gove
Service Manager Title Clinical Nurse Specialist
Service Manager Phone 02380 608042
Service Manager Address AS ABOVE
Service Manager Postcode AS ABOVE
Service Manager e-mail AS ABOVE
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