Respiratory Specialist Services and TB - Luton

Respiratory services

Respiratory Chronic Disease Management Service (CDM)
This is a community based service mainly delivered from The Luton Treatment Centre 8.00am – 16.00 Monday and Wednesdays although patients can be offered appointments outside these days and times should the need arise.

Joint home visit appointments are also conducted with other services to offer support and advice regarding respiratory management.

Pulmonary Rehabilitation 
This is an evidence based exercise and education programme for adult patients who considered themselves functionally disabled by breathlessness or MRC dyspnoea score 3 or above.  It is delivered at the Luton Treatment Centre and is for Adult patients registered with a Luton General Practitioner.

Initial sessions Tues & Thurs 11am– 1pm

Maintenance exercise sessions Tues & Thurs 10-11am

Initial pre-assessment and post assessment appointments are offered at various times throughout the week.

Once a patient has completed the initial pulmonary rehab programme, they are then offered 2 further appointments at 6 and 12 months post programme, to monitor their progress.

We have also developed a partnership with Active Luton and patients can be referred on completion of the initial pulmonary rehab programme or at any point during the 12 months following in order to continue their exercise regime. We currently have approximately 14 different exercise groups running across Luton specifically designed for respiratory patients.

Contact Details:
Respiratory Community Nurse Specialists
Tel: 0333 405 3159
Email:  kiran.shahzadi@nhs.net (TB and Respiratory Admin)

Long Term Oxygen Therapy (LTOT)
This nurse-led service is provided to adult Respiratory patients. LTOT is initiated by the secondary care respiratory team, with follow-up provided in an integrated manner. The Community team will review the patient in their own home 4 weeks after initiation with a review again at 6 months which could be either in the patients home or at the clinic held in the Treatment Centre. Secondary care provide the 3month and 12 month review.  Subsequent 12 month follow ups are provided by the community team.

Should the patient require additional visits, these are booked as needed.

The service is provided from:

The service is mainly delivered at The Luton Treatment Centre, Vestry Close, Luton, but joint home visits are undertaken with other members of the multidisciplinary team such as Community Matrons.

The service currently has four core elements:

  • Respiratory Chronic Disease Management Service - assessment and diagnosis
  • Pulmonary rehabilitation programme (PR): 14 sessions in the initial programme of exercise and education
  • Pulmonary Rehabilitation Maintenance Programme (PR): weekly exercise for patients prior to referral to an independent gym, patients reviewed every 12 weeks for suitability of referral.  Patients referred to PR remain on the caseload for assessments and on-going support for approximately 12 months dependent on need.
  • Long Term Oxygen Therapy (LTOT)

The above are delivered through direct interaction with patients via local respiratory services and through education and training.  Our aim is to improve disease management, as well as provide patient education, self-management and empowerment.

Sources of referral include:

  • General practitioners
  • District Nurses
  • Practice Nurses
  • Community Matrons Respiratory Specialists Nurses
  • Respiratory Consultants

Contact details:
Respiratory Community Nurse Specialists
0333 405 3159
Email:  kiran.shahzadi@nhs.net (TB and Respiratory Admin)


TB Services

This service meets the needs of patients and families in order to protect, prevent and reduce the risk of spread of TB infection to the wider community.

The service is delivered by the TB nurses at:

  • Luton Treatment Centre, Vestry Close, Luton LU1 1AR 
  • Patient’s homes
  • Schools, colleges, care homes and work places as required to undertake mass screening.
  • Luton and Dunstable Hospital
    Chest clinic
    Paediatric outpatients
    Maternity unit
    Wards 
Hours:
 
 Mon
 Tue 
 Wed
Thu Fri 
 Sat Sun 
8.am 8.am 8.am 8.am 8.am

8.30am 
Neonatal 
BCG

8.30am 
Neonatal 
BCG 
5.00pm 5.00pm 5.00pm 5.00pm 5.00pm 12.00pm 12.00pm

Services provided include:

  • TB screening for contacts and immigrants 
  • Early detection and treatment of active and latent TB through contact, immigrant and diagnostic screening  
  • Diagnostic investigations inclusive of assessment, chest x-ray, mantoux, sputum and T spot blood test 
  • Treatment monitoring and supervision for adherence and adverse drug reactions  
  • A comprehensive, tailor made directly observed treatment programme three times weekly  
  • Pre treatment assessment, testing and counselling  
  • BCG vaccinations to selected pre school and adult high risk groups  
  • Neonatal BCG programme within the maternity unit 0-1yrs  
  • Outbreak prevention and control management, including mass screening  
  • HIV Counselling, referral and care  
  • Health promotion and education in order to raise awareness of TB

Referrals to this service can be made by:

  • Self referral 
  • GPs 
  • Local Authority services 
  • Health care professionals (HCP) in the community or hospital setting

Contact Details:
Michael McMahon (Team Lead/CNS)
Kiran Shahzadi (TB Administrator)
Tel: 0333 405 3159
Email:  kiran.shahzadi@nhs.net (TB and Respiratory Admin)

and

Sandra Webb (Neonatal BCG Administrator)
Maternity Unit
Luton and Dunstable Hospital
Lewsey Road
Luton LU4 0DZ
Tel: 01582 718336

FileTypeSizeUploaded onDownload
0612 - Self Management for CarersPDF448.19 KB29 Jan, 2019 Download
0566 - Pulmonary Rehab InfoPDF1.56 MB24 Oct, 2018 Download
0567 - Pulmonary RehabPDF1.36 MB24 Oct, 2018 Download
0574 - Pulmonary Rehab Management PlanPDF1.20 MB24 Oct, 2018 Download
0436 - Respiratory Service LeafletPDF1.04 MB24 Oct, 2018 Download
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