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

Audit of Nurse Led Open Access Clinic • Outcomes of patients who self referred between 1 st May 2014 – 10 th 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.