Transcript TB Service North Central London

Narinder Boparai
Senior Lead TB Clinical Nurse
Specialist
TB Service
North Central London –
South Hub Whittington
Royal Free/North Mddx/Barnet
&Edgware
TB Service
North Central London - South Hub
……based at the Whittington Hospital
Reception at South Hub
Was officially opened on 8 October 2014
by actor/writer Emma Thompson and her
son Tindy
Clinics at South Hub
Doctors
Tuesday pm –
family/paediatric
Wednesday pm – adult
Thursday am – adult
Thursday pm – HIV/TB
*Available via phone
* Accept out of area
referrals
Nursing
Monday pm – Open access/Contact
Tuesdays – support
family/paediatric
Wednesday am – Nurse led Latent
Wednesday pm – Nurse led adult
and support Dr’s clinic
Thursday am - Nurse led adult and
support Dr’s clinic
Thursday pm – support HIV/TB clinic
Friday am - Open access/Contact
* Open access so can see
patients any day Monday Friday
About the TB Service North Central London
South Hub
The paediatric team made it a child-friendly area
About the TB Service North Central London
South Hub
Our aim is to reduce the
number of people
getting active TB
and provide effective
treatment for those who
have TB.
Role of TB Nurse team
• Open access clinics – assess
and order tests accordingly
and refer to relevant
clinicians – identifying those
who may have TB.
• Induced Sputum -Purpose
Built Induced Sputum
Room.
• Supporting patients on TB
treatment and their families
throughout course of
medication in the
community and in clinic.
• Contact tracing –
household/close
friends/incidents i.e.
hostels/schools/prison/
workplaces.
• Inpatients at
UCH/Whittington and
Queens Square visited
weekly.
• Education.
• Work with Public Health
England/MXU/Prisons/ Find
and Treat.
Supporting Patients
• Counselling about
medications.
• Addressing contact
tracing can be difficult
due to STIGMA.
• STIGMA – cases of
eviction/shunned by
family/lost job/children
isolated by other
parents.
• Directly Observed
Therapy (DOT) – study
DOT/VOT. DOT
Outreach team.
• Social Issues – Access to
Social Worker - getting a
GP/Benefits/Housing/
immigration/ drug
detox.
• Patient incentives.
About the TB Service North Central London
South Hub
There is a treatment room where we can dispense
TB treatment
TB services
alliances and partnerships
Occupational
Health Services
Pharmacy
services
Housing
Primary care –
homeless people
GPs/primary
care
Alcohol and
Drug services
TB team
Non local TB
services
Mental health
Services
Social Services
Health
Protection
Agency/local
Health
Protection Unit
Local Authority
Advocacy and
interpreting
services
Laboratory
services
X-ray services
Audit of Nurse Led Open Access Clinic
• Outcomes of patients who self referred between 1st
May 2014 – 10th august 2015 were reviewed.
Results
311 patients attended the open-access walk-in service 111 patients had been advised to attend by: GP 49, A&E
14, Mobile X-ray unit 6, Occupational Health 8, Other 34.
19/111 (17%) were notified with active TB
200 patients were self referrals:
8/200 (4%) were notified with active TB, 2 of
whom referred themselves via our website
How can you help us?
If you have any suspicions that your patient
may have TB, please refer to us.
We are happy to take calls if you need advice
re who to refer.
Please tell your patients that all
information is treated
sensitively and confidentially.
How to contact us at South Hub
Telephone : 020 7288 3366
Fax : 0207 288 3354
Walk-in’ clinics for people who think they might have TB on
Monday afternoons or Friday mornings.
Or contact us via our website:
www.tbnorthcentrallondon.nhs.uk
TB Service North Central London - website
www.tbnorthcentrallondon.nhs.uk
Thank you for
listening and we
look forward to
continuing to work
closely together.