Stoma care

Service overview

Our stoma care nursing service provides psychological support and education for patients, their families and carers undergoing surgery for stoma formation.

Our stoma care service provides pre-operative education; in-patient support and on-going community follow up throughout the patient's pathway. 

A stoma is an artificial opening in the bowel, created by a surgeon to divert the flow of faeces and or urine. The word stoma comes from the Greek for mouth or opening.

Who is our stoma care service for?

  

Our specialist stoma nurses provide care and support for patients who have had a surgical procedure to create a stoma and also support for family members and carers. The specialist nurses also provide education for all health care professionals.

  

What does our stoma care service do?

  

Our specialist stoma nurses provide:

  • pre-operative information and education for patients preparing for stoma forming surgery surgery including, ileostomy, colostomy and urostomy formation
  • post-operative teaching to facilitate self-care of stoma
  • physical and psychological support for patients with stomas and their families/carers
  • assessment of the stoma and addressing any problems such as prolapse, hernia, sore skin, and a high output
  • assessment of the patient's ability to cope with the stoma
  • assessment of product usage and ensure cost effective prescription
  • follow up as necessary, minimum annually
  • liaise with other healthcare professionals as required
  

Where do we provide our stoma care service?

  

Our specialist stoma care nurses care for people who are residing in Barnet, Kensington & Chelsea and Westminster.

  • Clinics are based within Finchley Memorial Hospital, Chelsea & Westminster Hospital and St Mary's Hospital.
  

What can you expect from our stoma care service?

  
  • Care and advice for all patients with new or established stomas
  • Care also for patients with fistulae, ileo-anal pouches and those requiring anal-irrigation
  • Home visits from the specialist stoma care nurse post discharge
  • Additional home visits are arranged if necessary, working with GPs, district nurses and other agencies
  • Telephone contact and clinic follow-up
  

Who do our stoma care teams work with?

  

Our specialist stoma nurses work with a variety of healthcare professionals, depending on patient needs, including:

  • hospital surgical teams
  • GPs
  • district nurses
  • carers and family
  

Who works in our stoma care team?

  

Our stoma care nursing team include the following specialists

  • Specialist stoma care nurses
  

How do you access our stoma care service?

  

Patients can be referred by their GP, hospital consultant or other healthcare professional.

Patients are able to self-refer into our stoma care service.

Contact: 0208 349 7529

  

Feedback and improvement

  
We always welcome feedback on your experience of using our services. If you do have feedback please use our online form.

Example:
You said: "Using a stoma has really affected my confidence, I don't want to go out and I feel depressed."
We assess the psychological wellbeing of stoma patients and monitor it. They receive psychological treatment if needed.

If you would like to read other examples of how we respond to feedback, please read our 'You said, we did' section.

  
 

Our stoma nursing teams work in the boroughs of:

  • Barnet
  • Kensington and Chelsea
  • Westminster

Referrers

This information is for GPs and other healthcare professionals who refer patients to our specialist stoma nursing team.

Information for clinicians

  • Pre-operative information and education is given for patients preparing for stoma forming surgery including, ileostomy, colostomy and urostomy formation.
  • Referrals accepted from any healthcare professional, family member or self-referrals.
  • An inpatient service is provided at Finchley Memorial Hospital, Chelsea & Westminster Hospital and St Mary's Hospital. Following discharge, all patients living in Barnet, Kensington and Chelsea, and Westminster are offered home visits from a stoma care nurse. If necessary, joint visits are undertaken with the district nurses and we also provide education to carers. Additional home visits are arranged as necessary.
  • Telephone contact and clinic follow-up ensure the patients continue to feel well supported and experience continuity of care from hospital to home.
  • The Integrated Care Pathway is used to ensure good communication between the specialist stoma care nurses, district nurses, GP's and carers as well as the full  hospital multidisciplinary team.
  • Clinics take place within the Hospital Outpatients Department and patients are formally reviewed at 6 weeks, 3 months, 6 months and annually following stoma formation, with further appointments made as necessary.
  • Regular reviews undertaken to ensure prescriptions remain appropriate and cost effective.

Referral criteria for our stoma care service

  

The stoma care nursing service is available to all patients regardless of whether a patient:

  • has a new or established stoma
  • is preparing for surgery
  • needs advice following the closure of the stoma

Patients have to be living in, or registered with a GP, in Barnet, Kensington & Chelsea, Hammersmith & Fulham, or Westminster to access our services in that borough.

  

What referral information does our stoma care team need?

  
  • Basic demographic information
  • Reason for referral
  • Any relevant notes and conditions
  

How do you refer to our stoma care service?

  

Patients in Barnet can be referred to:

Louise Foulds and Breege O'Neill
Finchley Memorial Hospital
P: 020 8349 7529
F: 020 8349 7479

Patients in Kensington and Chelsea can be referred to: 

Amanda Gunning and Melanie Jerome
Chelsea and Westminster Hospital
P: 020 8746 5911
F: 020 8746 8629

Patients in North Westminster can be referred to: 

Jane Blizzard
St Mary's Hospital
P: 020 7886 1306
F: 020 7886 6056

  

Waiting times for our stoma care service

  

0 to 5 days depending on urgency.

  

Core hours for our stoma care service

  

The core hours of our stoma nursing service are: 

Monday - 08.30 to 16.30
Tuesday - 08.30 to 16.30
Wednesday - 08.30 to 16.30
Thursday - 08.30 to 16.30
Friday - 08.30 to 16.30
Saturday - Closed
Sunday - Closed 

Bank holidays - Closed

  

Discharge criteria for our stoma care service

  

Patients requiring onigoing stoma care support are discharged if they move out of area or no longer require the service.

  

Management contacts for our stoma care service

  

Referrers can contact our stoma care nursing service managers with any queries they have about our stoma care service.

Claire Halkyard
Specialist Nursing Service Manager
P: 0207 963 2476
E: claire.halkyard@clch.nhs.uk

  
 

Locations

 
 
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