POCTPlymouth Derriford Hospital

A Co-Ordinator’s Tale

Tony CambridgePOCT Co-Ordinator

Plymouth Hospitals NHS Trust

Who are we?What do we do?How did we get there?Where are we heading?

Content

A CPA accredited POCT team based in Derriford Hospital in Plymouth

Marketed as POCTPlymouth The team is multi-disciplinary BMS, Associate Practitioner and ATO grades (4.5wte)

Who We Are

We provide a POCT service to the acute trust, the community and private healthcare sites

Overview of the service:

-Blood Gases - 16 analysers across the trust, 14 connected-Glucose – 230 meters, 180 Performa, 50 connected Inform II (4 off site)-Urinalysis- 70 sites, 30 Urisys 1100 meters, not connected-Urine Pregnancy Testing- 20 sites, currently all eye read-Hemocue Hb- 6 meters, mainly 201DM

We do not have full connectivity (and I don’t expect to ever achieve it!)

What We Do

Maintenance of blood gases and other equipment (monitoring connectivity solutions)

Training and Competency of staff Audits (QPulse audit calendar) Addressing non-conformance (QPulse) Quality assurance schemes Answering telephone calls/emails!!!!

A Typical Day

Who Is Involved? Transfusion nurses MDLPs Peninsula Network Managerial and

Clinical Support Self audit tools

-Essential to have a POCT Team

Named contacts at each site

Suppliers’ trainers/auditors

Medical and nursing teams

Blood gas technicians

Provide a full service to local Community Hospitals and Care UK

Provide glucose EQA scheme to Community Hospitals in Somerset

Advisory service to local GPs EQA and audit to some GPs/health centres

Looking to support POCT activities outside of our locality

Further Activity

2000 POCT section was part of the Chemistry Special Investigations section

2006 POCT section created with a section lead (BMS3), deputy (BMS2), BMS and ATO staff with rotation of BMS staff through the laboratory

2008 Rotation of staff through the POCT team removed 2009 Workforce redesign.

Reduction of state registered staff in favour of associate practitioners

2011 Further changes to the team including addition of an ATO 2012 (January) CPA Pre-Assessment visit

(July) CPA 2 day Assessment (3 assessors) Accreditation awarded November 2012

How Did We Get There?

Lab test costs Atebion Income generation Cost centres

EssentialExcellent managerial and clinical support from Pathology

How We Are Funded

Expansion of repertoire and scope of POCT CPA re-assessment Increase staffing in team Develop POCT in ED Set up POCT suite at a community hospital Develop better governance within GPs and

health centres

Where Are We Heading?

Promote our activities POCT Awareness across the acute and

community settings Engage with suppliers- tap into their

business acumen Market our services more effectively Peninsula tender contracts- Value

Our Approach

www.clabs.co.uk websiteMarketing

New Business

Phase 1 Govern existing activity Expand the scope of POCT in the local communityPhase 2 Market services as POCTPlymouth The laboratory has a commercial website www.clabs.co.uk Dedicated POCT page on the trust website Dedicated email address plh-tr.POCTPlymouth@nhs.net

The Concept

Phase 3 Market our services beyond the locality Elements include: EQA management Provision of controlled documentationE-Learning and competency packages Possibly audit of POCT services Equipment evaluation

The Concept

Will It Succeed?

We hope so…-Get on the Pathology agenda-Pathology labs meet with the CCGs-POCT a major part of pathology provision

We hope to…-Generate income to re-invest in the team/service-Not a profit making scheme-Sign up new users-Scale up our activities

Thanks for Listening

Food for thought?

Questions?

E: tony.cambridge@nhs.net T: 01752 792299