District nursing

District nurses are highly-skilled registered nurses who have undertaken a specialist qualification in community nursing.

The district nursing team includes registered community staff nurses who can provide skilled, complex nursing care and community healthcare assistants who support registered nurses with specificaspects of nursing care.

Registered nurses have a responsibility for training and planning learning experiences for student nurses. Student nurses may accompany staff on their visits and participate in nursing care.

Response times

The district nursing service has an agreed variety of response times. They are not an
emergency service but will respond within the following time frames:

  • urgent: within two to four hours e.g. symptom control, blocked catheter
  • non-urgent: usually within 24 hours e.g. by-passing catheters, constipation, wound management
  • planned: routine visits e.g. changing dressings, hospital discharges, continence.

Eligibility for home nursing

Home nursing will be provided to patients who are housebound, that is; those who require medical transport to enable them to leave their home. We also visit patients where either their
diagnosis or the nursing procedure means that home is the best place for the care to take place.

Access to home nursing

Access can be via our supporting services and acute hospitals. Self referral and requests from family, friends and carers can be made, and will be assessed for appropriateness.

The patient, where able, must give permission before they are referred.

Your responsibilities

Please let the nursing team know if you are not going to be available when your visit is due.

It remains your responsibility to ensure that dressings and medications are available for the home visit.

Please ensure that you provide liquid soap and a clean towel/paper towel or kitchen roll
for hand washing.

We expect all staff to be treated with courtesy and respect at all times. We ask that patients
or others in the home do not smoke during the nurse’s visit and that any pets be secured
away from the area of care before the nurse arrives.

Your personalised nursing care

You will be asked for consent to share information with your GP, specialist nurse or others who support your health and social needs. All your confidential information
will be kept securely and only essential information shared.

The team will undertake an holistic assessment of your health needs. This may mean referral to a more appropriate service if required.

A basic folder outlining nursing care plans will be left in your home and can be shared with other people or agencies who visit you to support your health needs.

The nurses will aim to actively involve you or your significant others in the nursing care that is planned following assessment. The nurse will consider your preferences within the constraints of available resources.

The nursing team will aim to work with you and your significant others to maximise your independence. This may include signposting you to other services to meet your needs. The nurses will provide your planned care, support, information and advice to minimise complications associated with any health
problems that you have.

We aim to put you at the centre of what we do to ensure that you have a say in your care.

Community Nursing Physical Health