The Adult Cardiorespiratory Enhanced and Responsive Service offers two main services: Respiratory and Heart Failure.

 

Respiratory

ACERS Respiratory Service is a 7 day service, based at Homerton University Hospital and St Leonards Hospital that provides care and support to anyone living in City and Hackney with a diagnosed chronic lung disease.   ACERS Respiratory is a multidisciplinary Team consisting of Nurses, Physiotherapists, Psychologists and Support workers, who provide the following services:
 

Acute Respiratory Virtual Ward, which includes:

• Admission avoidance
• Early Support discharged
• Remote monitoring and management of patients with suspected or confirmed COVID-19 - for patients with confirmed respiratory diagnosis

Please call to make a referral for this service.  Emails can get missed over the weekend.

 

Cardiorespiratory Rehabilitation

• Pulmonary Rehabilitation
• Cardiac Rehabilitation
• Heart Failure Rehabilitation 
• Integrated breathlessness rehabilitation – for people with Respiratory & chronic Heart failure

Respiratory Case Management

• Optimisation of disease management and medication
• Disease education and self-management plans
• Coordinate My Care plans development and support 

Home Oxygen Service Review and Assessment

• For anyone requiring oxygen therapy irrespective of primary diagnosis
• Long Term Oxygen Therapy
• Ambulatory Oxygen Therapy
• Palliative Oxygen Therapy

Outpatient Respiratory Physiotherapy

• Provision of airway clearance programmes and review for patients with Bronchiectasis – including trial of hypertonic saline and devices to help maximise chest clearance
• Assessment and management of Dysfunctional Breathing Patterns
• Assessment and management of Chronic Cough

Clinical Psychology (internal referrals only)

• Assessment and management of anxiety related breathlessness
• Management and supporting the adjustment related to a chronic respiratory disease
• Management and support of Respiratory Frequent Attenders

Heart Failure

• Provides care in the Community to optimise medications, monitor symptoms and reduce the risk of a hospital admission
• Provision of Rapid Diuresis Response/Virtual Ward service to support patients who would otherwise be in hospital, to receive the acute care required, providing monitoring and treatment they need in their own home or usual place of residence.  The care can be delivered remotely or face to face.  The monitoring of their decompensating heart failure, weight, blood pressure and condition is discussed and escalated as appropriate to a multidisciplinary team.  Depending on patient need and the pathway to be supported, care can include acute level interventions such as oral or IV diuretic therapy and phlebotomy to monitor renal function
• Provide Specialist Nursing input if patients are admission to hospital, throughout their admission
• Facilitate the discharge process and act as the liaison between secondary and primary care
• Cardiac rehabilitation - part of treatment for patients with coronary heart disease and helps patients to manage self-manage their condition.
• They have clinics across City and Hackney and also do home visits.
• The team are able to provide education as requested.
• 5 day service,  Mon-Fri 9-5 pm.

 

 

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Eligibility criteria

Inclusions

See the Homerton website for inclusion critera.

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How to refer

The following clinicians can refer to this service: GPs

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Locations

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