• The service will continue to recruit interested Practices to further expand the use of the
model of care it promotes, providing education through formal channels through the
GP federation PBL days, and locally within the Practices
• The role of the Chronic Oedema Liaison Nurse has developed, and an awareness of the
Practice based clinics has been spread to community nursing and podiatry colleagues,
who make appropriate referrals to the clinics. However, there are a sizeable number
of house bound patients who are not able to avail of the service and are currently
being referred through the Lymphoedema Service. Possible further development would be
to support the Lymphoedema team by providing a service to these patients
• Dissemination of the learning and achievements of the project continues including
presentations shared regionally within the Lymphoedema Network, Northern Ireland,
the Leg Ulcer Forum NI and a Public Health Consultant in PHA, and are to be discussed
at the Tissue Viability Nurse Network meeting early 2021. The team have been selected to
offer oral presentations at regional, national and international conferences, sharing
the results of the project at Tissue Viability, Leg ulcer forum, RCN Research and
Development, Lymphoedema and Pharmacy conferences.
NEXT STEPS
Community Stroke Team eDAMS Online Acute Referral Form
Community Stroke Team had identified the need to streamline their referral process from acute
settings in South Eastern HSC Trust to themselves. It was agreed to utilise the eDAMS system to
auto populate form reducing staff time taken to send referral.
This was done through close liaison with acute staff in the development and design of this form.
This would help ensure that the referral form would capture all of the relevant information to assist
with triaging and prioritising referrals.
The referrals are to be sent through the central booking office for log on to referral manager in
scheduler to provide electronic trail ensuring security of referrals and accountability.
The outcomes of this new referral form and process would ensure:
• Timely secure referrals
• Traceability for all referrals received
• Electronic accountability for all referrals received.
With the forth coming introduction of 'Encompass' the referral form will require further
development to allow cross trust referrals to be made electronically.
NEXT STEPS
118 Goal 5: Integrating the Care - Community Care