Surrey Community Nursing Service (District Nursing Team - Farnham), Farnham Centre for Health, Farnham Hospital, Hale Road, Farnham, Surrey GU9 9QL 01483 782 065

Welcome to Surrey Community Nursing Service (District Nursing Team – Farnham)

We visit people in their own homes, aiming to avoid unnecessary admission to hospital.

More about us

The community nursing services provide care to patients across Surrey. We provide comprehensive assessment and skilled nursing care tailored to the needs of each patient.

We provide coaching to encourage patients to manage their conditions independently.
We also work closely with GPs, social and voluntary care, and Macmillan specialist nurses.

Find out more about what to expect from your district nursing service 

The Care Quality Commission (CQC) is the Government’s health watchdog, responsible for ensuring that healthcare services registered with it provide high quality care that is safe, effective and compassionate. The CQC regularly inspect many of our services, click here for the latest report for this service. 

Where do I go for my appointment?

Your nurse will outline where your initial assessment will be held when first making contact with you by phone. It is likely to be in your own home but may be in a clinic.

How do I cancel or change my appointment?

If you cannot make the appointment, please contact us as soon as you can. This will enable us to use the time to arrange an appointment for someone else.

What happens during my appointment?

What happens during your appointment will vary depending on your needs. Your nurse will explain what will happen in more detail and will also inform you about how to obtain the results of any tests undertaken.

Bringing someone with you

You are welcome to have someone with you at your appointment. Sometimes our staff may also request to have someone present for an appointment. If you or the member of staff is uncomfortable with the person, we’ll reschedule to a later date when the correct person is available.

How long will my appointment take?

The length of your appointment will be dependent on the reason of the visit.

Referrals

Farnham Hospital
Telephone: 01483 782 065
Fax: 01483 782 079
Email: farnhamnurses@nhs.net
Out-of-hours line: 07771 772 180

To ensure we have all the information the nurse needs, we prefer to receive referrals via fax or email (if applicable). 

Clinical Lead: Sarah Hewetson-Grubb
Email: sarah.hewetson-grubb@virgincare.co.uk

Clinical Lead Coordinator
Telephone: 07747 770 321

Referral Criteria

The service is commissioned to accept referrals for patients who are:

  • Over 18
  • Registered with a GP within the CCG that is commissioning the service
  • Who have a defined nursing need, or are at risk of hospitalisation
  • Housebound, or:
  • Patients who are not housebound, but whose nursing needs indicate it is more suitable for them to be seen in their own home (e.g. those undergoing chemotherapy and requiring the care and maintenance of central venous line, bowel or bladder care.

Service provided by Community Nurses

  • A comprehensive and holistic assessment of patients accepted by the service, and the creation of an individual care plan.
  • Leg Ulcer Management –assessment and treatment for patients with a leg ulcer accepted for admission to the caseload.
  • Wound Management –assessment, treatment and advice for patients with wounds.
  • Phlebotomy – venepuncture for housebound patients at home and in residential settings.
  • Immunisation influenza and other immunisations for patients at home and in residential settings who are part of the current caseload.
  • Continence Management –assessment and advice for patients with continence problems, including arranging the provision of continence supplies and referral to specialist continence services.
  • Diabetes Management and Treatment –home visits to provide diabetes treatment and monitoring (e.g. administration of insulin for patients who are unable to self administer, or have no carer/family member able to do so); may not always be housebound.
  • Monitoring and treatment of long-term conditions, for patients who are housebound or find it difficult to access regular healthcare (but not including annual reviews).
  •  End of Life Care – on-going assessment, pain management and symptom control for terminally ill patients.  Referral to Specialised Palliative Care services other services for patients/carers.  Verification of death for patients on the caseload, where death is expected.  Post bereavement visit.
  • Continuing Healthcare – completion of checklist and Health Needs Assessment for patients on the current caseload receiving community nursing care.
  • Medication administration – to support patients to administer their prescribed medication, enabling the patient to remain at home.  Administration of medicines including:
    • Syringe pump medication
    • Rectal insertion
    • Transdermal medication
    • Intramuscular and subcutaneous injections.
  • Nurse prescribing by appropriately trained, experienced and competent District Nurses against a clearly defined formulary.
  • IV and Catheter care – this includes:
    • Care of central venous access devices (flushing and site care)
    • Care of urethral/supra-pubic catheters
    • Patient education regarding catheter care.

Additional services to those commissioned in the contract

A number of services, though not currently commissioned in all areas, may be provided under a locally commissioned service or separate arrangement with a GP practice

Key Definitions

Housebound

housebound patient is one with a specific nursing need who is unable to leave home because of a physical and /or psychological illness without support and a GP would normally offer home visits. A patient is not housebound if she, or he, is able to leave their home with assistance and routinely undertakes an unassisted visit, or visits, assisted by family, friends or other helpers to the doctor, dentist, clinic, hairdresser, supermarket, luncheon or similar clubs and activities or other leisure venues.

Caseload

A patient who has been referred to the service (including self-referral) and accepted as meeting the criteria contained within the service specification. A patient remains on the caseload until they have been discharged.

Discharge Criteria

Discharge is planned from acceptance onto the caseload admission through assessment and reassessment of goals, and in collaboration with the patient, carers and relevant co-providers.

The patient is discharged when the agreed care outcomes are achieved.

The patient is given details of how to contact the service again and an indication of reasons this may be appropriate.

Service specification

The above is a summary of the key points of the service specification for community nursing, the full version of which is available on request.

How does the service work?

You will have been referred by a healthcare professional or have made contact directly with the service. The nurse will contact you to assess your needs and will then agree with you where your care will be delivered either in your own home or in a clinic.

How soon will I be seen?

Response times will reflect your need. Below are some guidelines. If your new referral is for urgent care, we aim to contact you within four hours. Examples of this include:

  • administration of timed medication, such as insulin or intravenous antibiotics;
  • blocked catheter; or
  • uncontrolled symptoms in end of life care.

If your need is not urgent, we aim to contact you within 48-hours to agree an appointment. Examples of this include:

  • continence assessments;
  • one-off visits;
  • specialist assessments for long term conditions; or
  • wound care.

Who will treat me?

Our team is dedicated to providing everyone with the best care we can. Every member of our team has to provide evidence of their registration, training and criminal record status before they can work with you. Your appointment will be at one of five locations. Please refer to the letter that you’ve received which outlines whether you should go to:

Your records

We record all the information about you confidentially on our clinical system. Click here to get more information about how we use health records.

Non-English speakers and other formats

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Our commitment to you

Virgin Care takes your dignity and privacy very seriously and we will at all times respect your confidentiality. Please treat our staff with respect so we can provide you with the very best care we can. Click here to find out more about your rights and responsibilities.

Your opinion really matters to us

Please let us know if you have a comment, a compliment or a complaint by filling out one of our feedback forms or telling a member of the team. Alternatively, if you would like to make an official complaint you can find out more from our How to make a complaint section by clicking here.

Find out more

I was treated with great care and understanding. The care I received was second to none; everyone was so lovely.

Sapphire Ward, Gravesham Hospital