The Royal Wolverhampton Trust: Development of a Nurse-led Paracentesis and Infusion Service within a Gastroenterology Ward.

This project is the culmination of many years of collaborative work between nurses, doctors and managerial teams in developing a bespoke, nurse-led and nurse-managed day-case clinical service.

The service offers day-case paracentesis (drainage of fluid from the abdomen in patients with chronic liver disease (liver cirrhosis) and specialist intravenous infusions, including blood transfusions and is completely led and managed by nursing staff.

Prior to the development of this service, patients needing paracentesis or infusions needed admission to an acute hospital bed. All patients who previously needed to be admitted are now managed in a day-case setting, with significant cost-benefits to the organisation in relation to bed days saved and procedure-generated revenue.

The service has improved the quality of care delivered to patients as reflected by our feedback surveys and has delivered an ongoing financial contribution.

The service has also allowed nursing roles to develop and has fostered collaborative working between teams.

Highly Commended was London North West Healthcare Trust. Read all about its project here.

East Lancashire Hospitals NHS Trust
Hampshire Constabulary & Isle of Wight NHS Trust with Wessex Academic Health Science Network
Inflammatory Bowel Disease Service, King’s College Hospital Foundation Trust
NHS Camden Clinical Commissioning Group
NHS Solihull Clinical Commissioning Group, in partnership with Heart of England Foundation Trust, Diabetes UK and Public Health
Sandwell and West Birmingham Hospitals NHS Trust
South London and Maudsley Foundation Trust
Surrey and Sussex Healthcare Trust